Individual provider Active NPI

Natasha Lau - Johnson

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1295035715
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4862 Issued in NV
Practice address
3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130
Phone
(702) 375-3387
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NV
Marriage & Family Therapist 106H00000X 4862 NV Primary

Addresses

Primary practice location

3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130

Mailing address

8344 Jo Marcy Dr
Las Vegas, NV 89131-4601
Phone (702) 375-3387

Other names 1

  • Natasha Lau Former name

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
4862NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwaters Family Guidance and Wellness Centers LLC Marriage & Family Therapist CurrentSince Apr 16, 2025 Accepting new patients
Clearwaters Family Guidance and Wellness Centers,LLC PastSince Jul 19, 2020 Accepting new patients

Locations

3606 N Rancho Dr
Ste 142
Las Vegas, NV 89130
Phone (702) 278-0984

Organizations & group practices 2

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1295035715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 JO MARCY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314601",
            "telephone_number": "702-375-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303130",
            "telephone_number": "702-375-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU - JOHNSON",
        "first_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "LAU",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 9, 2024; 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.