Individual provider Active NPI

Denae Williams, LMFT

  • Marriage & Family Therapist
  • Henderson, NV
National Provider Identifier
1336728997
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4783 Issued in NV
Practice address
1550 W Horizon Ridge Pkwy Ste R732
Henderson, NV 89012-3600
Phone
(702) 829-0829
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 4783 NV Primary

Addresses

Primary practice location

1550 W Horizon Ridge Pkwy Ste R732
Henderson, NV 89012-3600

Mailing address

1550 W Horizon Ridge Pkwy Ste R732
Henderson, NV 89012-3600
Phone (702) 829-0828

Other identifiers 1

IdentifierTypeStateIssuer
4783OtherNVBOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS AND CLINICAL PROFESSION CO

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
I20251124002812 NV Practitioner - Marriage and Family Therapist 4981196243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3321 N Buffalo Dr
Suite 150
Las Vegas, NV 89129-6678

3321 N Buffalo Dr
Suite 200
Las Vegas, NV 89129-6680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4783NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fundamental Behavioral Services LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

3035 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 751-2547

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1336728997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY STE R732",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "702-829-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY STE R732",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "702-829-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DENAE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS AND CLINICAL PROFESSION CO",
            "identifier": "4783",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.