Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keoni Azevedo

Individual provider Counselor · NPI 1497314850

Keoni Azevedo is a Mental Health Counselor in Las Vegas, Nevada. Qualified in 2018, 8 years ago. Registered with an NPI since 2019.

Years since qualifying
8
In the registry since
2019
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Practice location Address checks out

714 E Sahara Ave Ste 103714E
Las Vegas, NV 89104-2942
Phone: (702) 369-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1497314850
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019
Mailing address714 E Sahara Ave Ste 103714e, Las Vegas, NV 89104-2942

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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