Keith A Stark

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI4366 Issued in NV

Practice address

3450 E Russell Rd
210
Las Vegas, NV 89120-2201

Phone

(702) 629-4354

Fax

(702) 644-0475

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1174887681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S EASTERN AVE APT 2618",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524901",
            "telephone_number": "702-538-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E RUSSELL RD",
            "address_2": "210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202201",
            "telephone_number": "702-629-4354",
            "fax_number": "702-644-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 S Eastern Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525576",
            "country_code": "US",
            "telephone_number": "702-661-7436",
            "fax_number": "702-552-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "KEITH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stark Medicine McKay Khurana Jeider PLLC
• Stark Medicine McKay Khurana Jeider PLLC
• Beatrice Ann Stark, D.D.S.
• Brian William Stark Jr., PA-C
• Ellen Stark, LSW
• Renee Stark
• Vlada Stark
• Jesse Starkes, RBT
• Cassandra Starkey, CCC/SLP
• Glenda Starkey

• 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 Jun 24, 2026; 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.