Individual provider Active NPI

Beatrice Marquez, MFT INTERN

  • Mental Health Counselor
  • Pahrump, NV
National Provider Identifier
1083907182
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MI4150 Issued in NV
Practice address
2340 E Calvada Blvd Ste 5a
Pahrump, NV 89048-5821
Phone
(725) 525-1024
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI4150 NV
Addiction (Substance Use Disorder) Counselor 101YA0400X 01767-L NV
Mental Health Counselor 101YM0800X MI4150 NV Primary

Addresses

Primary practice location

2340 E Calvada Blvd Ste 5a
Pahrump, NV 89048-5821

Mailing address

4108 Carol Bailey Ave
North Las Vegas, NV 89081-6809
Phone (702) 472-3137

Other practice location 1

3652 N Rancho Dr Ste 102
Las Vegas, NV 89130-3178
Phone (702) 472-3137

Other identifiers 1

IdentifierTypeStateIssuer
1992095384MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118003132 NV Practitioner - Mental Health Counselor 3375034291 Practice locations: Las Vegas, NV; Pahrump, NV

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2340 E Calvada Blvd
Suite 5a
Pahrump, NV 89048-5821
Phone (725) 525-1024

3652 N Rancho Dr
Suite 102
Las Vegas, NV 89130-3178
Phone (725) 525-1024

4108 Carol Bailey Ave
North Las Vegas, NV 89081-6809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01767-LNVMDAddiction (Substance Use Disorder) Counselor
MI4150NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
F.a.M Healing Center LLC Addiction (Substance Use Disorder) CurrentSince Aug 17, 2025 Accepting new patients

Locations

3652 N Rancho Dr
Ste 102
Las Vegas, NV 89130
Phone (702) 334-6162

2340 E Calvada Blvd
Ste 5A
Pahrump, NV 89048
Phone (702) 493-5847

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1083907182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 CAROL BAILEY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816809",
            "telephone_number": "702-472-3137",
            "fax_number": "702-434-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE 5A",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485821",
            "telephone_number": "725-525-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3652 N Rancho Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303178",
            "country_code": "US",
            "telephone_number": "702-472-3137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "BEATRICE",
        "name_prefix": "Ms.",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4150",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01767-L",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "MI4150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992095384",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.