Active NPI
Cynthia Nanette Kozmary, MFT, LADC
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1225348659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01140
- Practice address
- 2851 El Camino Ave #200
Las Vegas, NV 89102 - Phone
- (702) 380-3210
- Fax
- (702) 380-3212
- NPI assigned
- Oct 19, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01289-L | NV | |
| Marriage & Family Therapist | 106H00000X | 01140 | NV | Primary |
Addresses
Primary practice location
2851 El Camino Ave #200
Las Vegas, NV 89102
Mailing address
2851 El Camino Ave #101
Las Vegas, NV 89102
Phone (702) 380-3210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01289-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 01140 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lux Laboratories LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6591/brand/1/csg/1/fhir/r4
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.
-
- Clinical Medical Laboratory
- Las Vegas, NV
- NPI 1053775965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1225348659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 EL CAMINO AVE #101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-380-3210",
"fax_number": "702-380-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 EL CAMINO AVE #200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-380-3210",
"fax_number": "702-380-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZMARY",
"first_name": "CYNTHIA",
"middle_name": "NANETTE",
"credential": "MFT, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01289-L",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01140",
"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 Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.