1111 THERAPY & MENTAL HEALTH INSTITUTE
NPI 1831863315
Counselor - Mental Health in Las Vegas, NV

Active since August 06, 2021
1504 BLACKCOMBE ST UNIT 204, LAS VEGAS, NV 89128(404) 849-9918 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 1111 Therapy & Mental Health Institute NPPES

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

1111 THERAPY & MENTAL HEALTH INSTITUTE (NPI 1831863315) is a healthcare organization registered as a mental health in Las Vegas, Nevada and active in the NPI registry since August 2021. The organization lists Rodney Bumpers, Manager, as its authorized official.

NPPES Registry Identity

NPI1831863315
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business Name1111 THERAPY & MENTAL HEALTH INSTITUTE
Location Address1504 BLACKCOMBE ST UNIT 204Las Vegas, NV 89128-8019
Mailing Address1504 Blackcombe St Unit 204Las Vegas, NV 89128-8019 · (404) 849-9918
Organization SubpartNo
Authorized OfficialRodney BumpersManager · (404) 849-9918
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
NPI 1831863315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedDrama TherapistTaxonomy 101200000X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedArt TherapistTaxonomy 221700000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedDance TherapistTaxonomy 225600000X
Also ListedMusic TherapistTaxonomy 225A00000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1504 BLACKCOMBE ST UNIT 204, Las Vegas, NV 89128

Other Identifiers 2

Medicaid1245755636NV
Medicaid1821367087NV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1111 Therapy & Mental Health Institute's NPI number?

The NPI number for 1111 Therapy & Mental Health Institute is 1831863315. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is 1111 Therapy & Mental Health Institute located?

1111 Therapy & Mental Health Institute is located at 1504 Blackcombe St Unit 204, Las Vegas, NV 89128. The listed phone number is (404) 849-9918.

What is 1111 Therapy & Mental Health Institute's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for 1111 Therapy & Mental Health Institute was last updated on August 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.