Active NPI
Amanda Marie Serrano, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4242
- Practice address
- 10620 Southern Highlands Pkwy Ste 110-776
Las Vegas, NV 89141-4371 - Phone
- (702) 389-7937
- NPI assigned
- Sep 20, 2018
- Last updated
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI1076 | NV | |
| Marriage & Family Therapist | 106H00000X | 4242 | NV | Primary |
Addresses
Primary practice location
10620 Southern Highlands Pkwy Ste 110-776
Las Vegas, NV 89141-4371
Mailing address
10620 Southern Highlands Pkwy Ste 110
Las Vegas, NV 89141-4372
Phone (702) 219-5596
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4242 | NV | MD | Marriage & Family Therapist |
| MI1076 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TRZ NV LLC | Current | Accepting new patients |
Locations
10620 Southern Highlands Pkwy
Ste 110
Las Vegas, NV 89141
Phone (702) 210-9560
3675 Pecos McLeod
Ste 100
Las Vegas, NV 89121
Phone (702) 389-7937
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": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1215411756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10620 SOUTHERN HIGHLANDS PKWY STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414372",
"telephone_number": "702-219-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 SOUTHERN HIGHLANDS PKWY STE 110-776",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414371",
"telephone_number": "702-389-7937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI1076",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4242",
"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 Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.