Provider Demographics
NPI:1154942860
Name:ASCENDANT COUNSELING CENTER INC.
Entity type:Organization
Organization Name:ASCENDANT COUNSELING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:435-559-9857
Mailing Address - Street 1:129 W LAKE MEAD PKWY
Mailing Address - Street 2:SUITE 20
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6954
Mailing Address - Country:US
Mailing Address - Phone:702-451-2141
Mailing Address - Fax:702-478-3288
Practice Address - Street 1:129 W LAKE MEAD PKWY
Practice Address - Street 2:SUITE 20
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-6954
Practice Address - Country:US
Practice Address - Phone:702-451-2141
Practice Address - Fax:702-478-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV250014669Medicaid