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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHOENIX AERIE
NPI 1700214467
Counselor in Las Vegas, NV

Active since October 16, 2013
9402 W LAKE MEAD BLVD STE 102, LAS VEGAS, NV 89134(702) 438-7800 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 21, 2026, Mar 17, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Phoenix Aerie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX AERIE (NPI 1700214467) is an individual counselor in Las Vegas, Nevada and active in the NPI registry since October 2013. She maintains a secondary practice location in Deerfield Beach.

NPPES Registry Identity

NPI1700214467
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NamePHOENIX AERIE
Location Address9402 W LAKE MEAD BLVD STE 102Las Vegas, NV 89134-8312
Mailing Address9402 W Lake Mead Blvd Ste 102Las Vegas, NV 89134-8312
Phone(702) 438-7800
Sole ProprietorYes
Enumeration DateOctober 16, 2013
Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1700214467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
9402 W LAKE MEAD BLVD STE 102, Las Vegas, NV 89134
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Secondary Practice Location 1

Location 1500 Fairway Dr, Ste. 102Deerfield Beach, FL 33441-1814 · Phone (888) 880-9270 · Fax (954) 342-0273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Aerie's NPI number?

The NPI number for Phoenix Aerie is 1700214467. It was assigned to this individual provider in the NPPES registry on October 16, 2013.

Where is Phoenix Aerie located?

Phoenix Aerie practices at 9402 W Lake Mead Blvd Ste 102, Las Vegas, NV 89134. The listed phone number is (702) 438-7800.

What is Phoenix Aerie's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Aerie was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.