Individual provider Active NPI

Thomas J Stewart, MFTI

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1144530411
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0205 Issued in NV
Practice address
5825 W Sahara Ave
Suite K
Las Vegas, NV 89149
Phone
(702) 433-4357
Fax
(702) 222-1210
NPI assigned
Oct 20, 2010
Last updated
Oct 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0205 NV Primary

Addresses

Primary practice location

5825 W Sahara Ave
Suite K
Las Vegas, NV 89149

Mailing address

807 S Decatur Blvd
Las Vegas, NV 89107-3933
Phone (702) 281-2174

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
I20240212004096 NV Practitioner - Marriage and Family Therapist 9436592938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0205NVMDMarriage & Family Therapist
4622NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration and Recovery, LLC CurrentSince Oct 20, 2024 Accepting new patients
Restoration and Recovery, LLC CurrentSince Jan 1, 2024 Accepting new patients
Cornerstone Counseling Center Past Accepting new patients

Locations

7495 W Azure Dr
Ste 246
Las Vegas, NV 89130
Phone (702) 302-4288

Organizations & group practices 3

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1144530411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073933",
            "telephone_number": "702-281-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 W SAHARA AVE",
            "address_2": "SUITE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-433-4357",
            "fax_number": "702-222-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.