Individual provider Active NPI

Kimberly Ann Hill, MFT, M.ED., MA

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1346978806
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4119 Issued in NV
Practice address
8430 W Lake Mead Blvd
Las Vegas, NV 89128-7672
Phone
(702) 629-8339
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 MI4119 NV Primary

Addresses

Primary practice location

8430 W Lake Mead Blvd
Las Vegas, NV 89128-7672

Mailing address

5635 Willow Canyon St
Las Vegas, NV 89149-2514
Phone (702) 629-8339

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
I20250225002483 NV Practitioner - Marriage and Family Therapist 3173043866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Desert Behavioral HealthGroup PAC ID 3274702360, 11 clinicians

Practice addresses (Care Compare)

4055 Spencer St
Suite 118
Las Vegas, NV 89119-5250
Phone (702) 799-9710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
MI4119NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Behavioral Health CurrentSince Jan 27, 2025 Accepting new patients

Locations

2775 S Jones Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 685-3300

4055 Spencer St
Ste 118
Las Vegas, NV 89119
Phone (702) 218-6496

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1346978806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 WILLOW CANYON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891492514",
            "telephone_number": "702-629-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287672",
            "telephone_number": "702-629-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MFT, M.ED., MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.