Active NPI
Michelle Dahan, MFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1306186150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01297
- Practice address
- 7371 W Charleston Blvd
Suite #130
Las Vegas, NV 89117-1575 - Phone
- (702) 856-6763
- Fax
- (702) 685-0549
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 01297 | NV | Primary |
Addresses
Primary practice location
7371 W Charleston Blvd
Suite #130
Las Vegas, NV 89117-1575
Mailing address
7371 W Charleston Blvd
Suite #130
Las Vegas, NV 89117-1575
Phone (702) 856-6763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306186150 | Medicaid | NV |
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 |
|---|---|---|---|
| 01297 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1306186150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7371 W CHARLESTON BLVD",
"address_2": "SUITE #130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171575",
"telephone_number": "702-856-6763",
"fax_number": "702-685-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7371 W CHARLESTON BLVD",
"address_2": "SUITE #130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171575",
"telephone_number": "702-856-6763",
"fax_number": "702-685-0549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHAN",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306186150",
"state": "NV"
}
],
"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 Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.