Active NPI
Ismenia Alexandra Varela-Arellano
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1386463016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI4426
- Practice address
- 2445 Fire Mesa St Ste 270
Las Vegas, NV 89128-9015 - Phone
- (702) 757-8720
- NPI assigned
- Oct 9, 2024
- 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 | MI4426 | NV | Primary |
Addresses
Primary practice location
2445 Fire Mesa St Ste 270
Las Vegas, NV 89128-9015
Mailing address
3589 E Garfield Dr
Pahrump, NV 89061-0169
Phone (702) 677-9029
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 |
|---|---|---|---|
| MI4426 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1386463016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3589 E GARFIELD DR",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890610169",
"telephone_number": "702-677-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 FIRE MESA ST STE 270",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289015",
"telephone_number": "702-757-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARELA-ARELLANO",
"first_name": "ISMENIA",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI4426",
"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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.