Individual provider Active NPI

Trudy Gilbert-Eliot, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1184700403
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0828 Issued in NV
Practice address
8766 S Maryland Pkwy Ste 105
Las Vegas, NV 89123-6701
Phone
(775) 772-9017
Fax
(775) 313-9773
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00336-LC NV
Marriage & Family Therapist 106H00000X 0828 NV Primary

Addresses

Primary practice location

8766 S Maryland Pkwy Ste 105
Las Vegas, NV 89123-6701

Mailing address

8766 S Maryland Pkwy Ste 105
Las Vegas, NV 89123-6701
Phone (775) 772-9017

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
00336-LCNVMDAddiction (Substance Use Disorder) Counselor
0828NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Psychotherapy Practice LLC CurrentSince Aug 29, 2021 Accepting new patients

Locations

8766 S Maryland Pkwy
Ste 105
Las Vegas, NV 89123
Phone (775) 772-9017

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1184700403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 S MARYLAND PKWY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236701",
            "telephone_number": "775-772-9017",
            "fax_number": "775-313-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 S MARYLAND PKWY STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236701",
            "telephone_number": "775-772-9017",
            "fax_number": "775-313-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT-ELIOT",
        "first_name": "TRUDY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00336-LC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0828",
            "primary": true
        }
    ],
    "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 Aug 27, 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.