Kimberly Smith, MFT LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0784 Issued in NV

Practice address

7495 W Azure Dr Ste 205
Las Vegas, NV 89130-4416

Phone

(702) 515-4015

Fax

(702) 202-6798

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healing Hooves

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1558826206
  NPD
• Kimberly Molnar MFT LTD

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1861776429
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1285651117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-515-4015",
            "fax_number": "702-202-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-515-4015",
            "fax_number": "702-202-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "MFT LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508969",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Smith, MS
• Kevin J Smith
• Keyona S Smith
• Kiera T Smith
• Kimberlie Smith
• Kimberly Diane Smith, LCSW INTERN
• Kirk Shawn Smith, DO
• Knavia Smith
• Koalani Smith, PHARMD
• Kodi Ann Smith, QBA

• 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 Feb 22, 2020; 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.