Kimberly Louise Roets, MFT-INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

9801 Gavin Stone Ave
Las Vegas, NV 89145-8608

Phone

(775) 453-3459

NPI assigned

Nov 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Brookman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• US Holdings LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1780936435
  NPD (past)

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320451200000",
    "number": "1114204021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GAVIN STONE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458608",
            "telephone_number": "775-453-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GAVIN STONE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458608",
            "telephone_number": "775-453-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETS",
        "first_name": "KIMBERLY",
        "middle_name": "LOUISE",
        "credential": "MFT-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2011-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BROOKMAN",
            "credential": "MFT-INTERN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Casey Allan Roehr
• Taylor Ashly Roehr
• Ariel Roes
• Nadia Roese
• James Arthur Roets
• Randy Roferos, LPN
• Jessica Blanco Rogando, FNP-C
• Gloria E. Rogel, LIFE COACH / AUTHOR
• Sonia Rogel
• Rogelio Machuca MD Family Medicine, PLLC

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.