Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
1111 THERAPY & MENTAL HEALTH INSTITUTE
Active
Organization
1111 THERAPY & MENTAL HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY BUMPERS M.ED (MANAGER)
(404) 849-9918
Entity
Organization
Contact information
Practice address
1504 BLACKCOMBE ST UNIT 204, LAS VEGAS, NV 89128-8019
(404) 849-9918
Mailing address
1504 BLACKCOMBE ST UNIT 204, LAS VEGAS, NV 89128-8019
(404) 849-9918
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
NULL
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0015X
Psychosomatic Medicine Physician
—
NULL
2084P0015X
Psychosomatic Medicine Physician
—
—
221700000X
Art Therapist
—
NULL
221700000X
Art Therapist
—
—
225400000X
Rehabilitation Practitioner
—
NULL
225400000X
Rehabilitation Practitioner
—
—
225600000X
Dance Therapist
—
NULL
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
NULL
225A00000X
Music Therapist
—
—
225C00000X
Rehabilitation Counselor
—
NULL
225C00000X
Rehabilitation Counselor
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers