Individual provider Active NPI

Keisha Weiford, MFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1174662399
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0888 Issued in NV
Practice address
8440 W Lake Mead Blvd Ste 206
Las Vegas, NV 89128-7648
Phone
(702) 395-8417
Fax
(702) 242-4429
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 0888 NV Primary

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 206
Las Vegas, NV 89128-7648

Mailing address

8440 W Lake Mead Blvd Ste 206
Las Vegas, NV 89128-7648
Phone (702) 395-8417

Other practice location 1

10260 SW 144th Pl
Miami, FL 33186-6901
Phone (702) 395-8417

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
I20250620003620 NV Practitioner - Marriage and Family Therapist 5991217432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of Nevada, Las Vegas School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8440 W Lake Mead Blvd
Suite 212
Las Vegas, NV 89128-7648
Phone (702) 395-8417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keisha Weiford LMFT PLLC Marriage & Family Therapist CurrentSince Apr 16, 2025 Accepting new patients

Locations

8440 W Lake Mead Blvd
Ste 212
Las Vegas, NV 89128
Phone (702) 256-6090

8440 W Lake Mead Blvd
Ste 206
Las Vegas, NV 89128
Phone (702) 395-8417

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, 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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1174662399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-395-8417",
            "fax_number": "702-242-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-395-8417",
            "fax_number": "702-242-4429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 SW 144th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331866901",
            "country_code": "US",
            "telephone_number": "702-395-8417",
            "fax_number": "702-242-4429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIFORD",
        "first_name": "KEISHA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.