Individual provider Active NPI

Janisse Brooke Rothford, MS

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1356767263
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC3866 Issued in CA
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

Updated by the provider on Jun 21, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002439 NV Practitioner - Mental Health Counselor 3678013349 Reassigns benefits to 2 organizations

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
Total Life IncGroup PAC ID 8123433034, 113 clinicians

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

LicenseStateTypeSpecialty
LPCC3866CAMDMental Health Counselor
CP3331-RNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Aug 1, 2024 Accepting new patients
Total Life FL PA CurrentSince Jul 1, 2025 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

Verify at the official NPI Registry.