Active NPI
Janisse Brooke Rothford, MS
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1356767263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC3866
- Practice address
- 6600 Range Rd
Las Vegas, NV 89165-1805 - Phone
- (702) 831-1054
- NPI assigned
- Mar 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CP3331-R | NV | |
| Mental Health Counselor | 101YM0800X | LPCC3866 | CA | Primary |
Addresses
Primary practice location
6600 Range Rd
Las Vegas, NV 89165-1805
Mailing address
2129 Elmont Ave
North Las Vegas, NV 89086-1568
Phone (559) 284-9614
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC3866 | CA | MD | Mental Health Counselor |
| CP3331-R | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
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": "1394928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1356767263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 ELMONT AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861568",
"telephone_number": "559-284-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 RANGE RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891651805",
"telephone_number": "702-831-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHFORD",
"first_name": "JANISSE",
"middle_name": "BROOKE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-16",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP3331-R",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC3866",
"primary": true
}
],
"identifiers": [],
"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 Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.