OrganizationJim GoinsCommunity/Behavioral HealthAgenciesPractice Address5420 W Sahara Ave Ste 102-6, Las Vegas, NV 89146-0394(484) 868-0584PECOS EnrollmentBased on the most recent information from CMS, provider Jim Goins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1881048320Provider TypeOrganizationFull NameJim GoinsSubpartNoEnumeration Date4/21/2016Last Updated4/21/2016Contact InformationPractice LocationPractice Address5420 W Sahara Ave Ste 102-6, Las Vegas, NV 89146-0394Phone(484) 868-0584FaxUnlisted FaxMailing LocationMailing Address5420 W Sahara Ave Ste 102-6, Las Vegas, NV 89146-0394Phone(484) 868-0584FaxUnlisted FaxAuthorized OfficialNameGoins, Jim (Professional Counselor)Phone(484) 868-0584Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseCP0128Nevada