DESHANA ALLEN — NPI 1063848570 (Licensed & Credentialed Counselor, Pastoral in LAS VEGAS, NV)

CMS-1500 Box 24J / 33a • NPI

1063848570

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YP1600X

Licensed & Credentialed Counselor, Pastoral

Box 32 Service Location & ZIP+4

2620 S MARYLAND PKWY # 14-429, LAS VEGAS, NV, 89109

Official NPPES Practice Location

Practice Phone & Referral Fax

(702) 591-9336

Fax: (702) 946-9472

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063848570 (DESHANA ALLEN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063848570` (NPI-1 Individual Practitioner)
Provider / Legal Name	DESHANA ALLEN
Plain-English Specialty	Licensed & Credentialed Counselor, Pastoral NUCC Code: `101YP1600X` (Counselor, Pastoral)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2620 S MARYLAND PKWY # 14-429, LAS VEGAS, NV, 89109
Practice Telephone / Fax	Tel: (702) 591-9336 \| Fax: (702) 946-9472
Administrative Mailing Address	2620 S MARYLAND PKWY # 14-429, LAS VEGAS, NV, 89109-8300
Enumeration & Last Sync	Enumerated: 2013-09-17 \| CMS Record Updated: 2018-08-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2620 S MARYLAND PKWY # 14-429, LAS VEGAS, NV, 89109

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Plain-English Taxonomy & CMS Crosswalk (101YP1600X)

What Does Taxonomy Code 101YP1600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP1600X translates to:
"Licensed & Credentialed Counselor, Pastoral"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Pastoral for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DESHANA ALLEN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225400000X` — Rehabilitation Practitioner Plain English: Licensed & Credentialed Rehabilitation Practitioner	State: N/A \| License: `Verified` \| Primary: Secondary
`101YP1600X` — Counselor, Pastoral Plain English: Licensed & Credentialed Counselor, Pastoral	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DESHANA ALLEN (NPI #1063848570)