Individual provider Active NPI

Malieka D Toston, LADC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1033787205
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C15266 Issued in NV
Practice address
2000 S Eastern Ave Ste N
Las Vegas, NV 89104-4100
Phone
(702) 714-1739
NPI assigned
Jun 15, 2021
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06739-L NV
Mental Health Counselor 101YM0800X C15266 NV Primary

Addresses

Primary practice location

2000 S Eastern Ave Ste N
Las Vegas, NV 89104-4100

Mailing address

104 Raptors View Ave
N Las Vegas, NV 89031-6820
Phone (702) 910-6912

Other practice location 1

104 Raptors View Ave
N Las Vegas, NV 89031-6820
Phone (702) 910-6912

Other identifiers 1

IdentifierTypeStateIssuer
1033787205MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL REST Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06739-LNVMDAddiction (Substance Use Disorder) Counselor
C15266NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
There & Back Recovery Services, LLC Addiction (Substance Use Disorder) CurrentSince Jun 1, 2021 Accepting new patients

Locations

2000 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 527-2571

2000 S Eastern Ave
Ste N
Las Vegas, NV 89104
Phone (702) 714-1739

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1033787205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RAPTORS VIEW AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890316820",
            "telephone_number": "702-910-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE STE N",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044100",
            "telephone_number": "702-714-1739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Raptors View Ave",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890316820",
            "country_code": "US",
            "telephone_number": "702-910-6912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOSTON",
        "first_name": "MALIEKA",
        "middle_name": "D",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06739-L",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "C15266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033787205",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "REST",
            "affiliation": "N",
            "endpointDescription": "LAPTOP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Raptors View Ave",
            "city": "N Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890316820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.