Individual provider Active NPI

Kartika Dickens, LMFT

  • Marriage & Family Therapist
  • Henderson, NV
National Provider Identifier
1225379266
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0618 Issued in NV
Practice address
11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576
Phone
(702) 751-5055
Fax
(702) 552-7138
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 MI0618 NV Primary

Addresses

Primary practice location

11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576

Mailing address

11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576
Phone (702) 751-5055

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
I20241002000690 NV Practitioner - Marriage and Family Therapist 3577904630 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0618NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Healthy Minds, LLC CurrentSince Apr 5, 2025 Accepting new patients
Urban Healthy Minds, LLC Current Accepting new patients
Quality Health Center, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

11500 S Eastern Ave
Henderson, NV 89052
Phone (702) 789-0788

11500 S Eastern Ave
Ste 150
Henderson, NV 89052
Phone (702) 552-7138

501 S Rancho Dr
Ste F38
Las Vegas, NV 89106
Phone (702) 258-1173

Organizations & group practices 3

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1225379266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576",
            "telephone_number": "702-751-5055",
            "fax_number": "702-552-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576",
            "telephone_number": "702-751-5055",
            "fax_number": "702-552-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "KARTIKA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.