Individual provider Active NPI

Viviana Orozco Black (Rojas), LMFT-I, LCADC-I

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1124588322
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI1094 Issued in NV
Practice address
7040 Laredo St Ste K
Las Vegas, NV 89117-3044
Phone
(702) 331-4874
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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 MI1094 NV Primary
Mental Health Counselor 101YM0800X
Group Psychotherapy Psychologist 103TP2701X

Addresses

Primary practice location

7040 Laredo St Ste K
Las Vegas, NV 89117-3044

Mailing address

1515 S Mojave Rd SPC 6
Las Vegas, NV 89104-4530
Phone (702) 875-2744

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
MI1094NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1124588322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S MOJAVE RD SPC 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044530",
            "telephone_number": "702-875-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAREDO ST STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173044",
            "telephone_number": "702-331-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK (ROJAS)",
        "first_name": "VIVIANA",
        "middle_name": "OROZCO",
        "credential": "LMFT-I, LCADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI1094",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 14, 2021; 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.