NPIMap

Organization Active NPI

Tabitha Johnson MFT, PLLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1164819157
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01214 Issued in NV
Legal business name
TABITHA JOHNSON MFT, PLLC
Doing business as
Marathon
Practice address
8565 S Eastern Ave Ste 172
Las Vegas, NV 89123-2907
Phone
(702) 279-8200
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Ms. Tabitha M. Johnson, LMFTNPI 1285924936
Title
Manager
Phone
(702) 279-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01214 NV Primary

Addresses

Primary practice location

8565 S Eastern Ave Ste 172
Las Vegas, NV 89123-2907

Mailing address

8565 S Eastern Ave Ste 172
Las Vegas, NV 89123-2907
Phone (702) 279-8200

Other names 1

  • Marathon Doing business as

National Provider Directory

National Provider Directory

Locations

8565 S Eastern Ave
Ste 172
Las Vegas, NV 89123
Phone (702) 279-8200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1164819157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 172",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "702-279-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 172",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "702-279-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA JOHNSON MFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-279-8200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "01214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2015; 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.