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Advance Addiction Treatment Center

NPI 1053879247ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Las Vegas, NV

Counselor, Addiction (Substance Use Disorder) in Las Vegas, Nevada, registered in NPPES in March 2019. The authorized official on file is Edward Gamboa, Ceo.

Overview

NPI1053879247
StatusActive
Entity typeOrganization
NPI issuedMar 6, 2019
Last updated in NPPESMar 28, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Addiction (Substance Use Disorder) Primary101YA0400X——
Social Worker104100000X——
Rehabilitation Counselor225C00000X——
Community/Behavioral Health251S00000X——
Clinic/Center, Adult Mental Health261QM0850X——
Clinic/Center, Adolescent and Children Mental Health261QM0855X——
Clinic/Center, Rehabilitation, Substance Use Disorder261QR0405X——
Clinic/Center, Recovery Care261QR0800X——
Intermediate Care Facility, Mental Illness310500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other addiction counselors in Las Vegas

All 424 addiction counselors in Las Vegas · All addiction counselors in Nevada