Individual provider Active NPI

Yolanda A. Trevino, PH.D, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1437287927
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0936 Issued in NV
Practice address
620 E. Twain Ave
Las Vegas, NV 89169
Phone
(702) 437-9654
Fax
(702) 823-3381
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2017

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 0936 NV Primary

Addresses

Primary practice location

620 E. Twain Ave
Las Vegas, NV 89169

Mailing address

3395 S Jones Blvd
Ste. 345
Las Vegas, NV 89146-6729
Phone (702) 437-9654

Other identifiers 1

IdentifierTypeStateIssuer
100507921MedicaidNV

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
I20241028000494 NV Practitioner - Marriage and Family Therapist 2062427842 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Neurohealth Centers LLCGroup PAC ID 4284900390, 2 clinicians

Practice addresses (Care Compare)

2835 Jamie Rose St
Las Vegas, NV 89135-2047
Phone (702) 556-4561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0936NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trevino Enterprises LLC Marriage & Family Therapist CurrentSince Feb 22, 2012 Accepting new patients
International Neurohealth Centers LLC Marriage & Family Therapist CurrentSince Mar 6, 2013 Accepting new patients
Red Rock Guidance Center LLC Marriage & Family Therapist PastSince Jun 11, 2004 Accepting new patients

Locations

5450 W Sahara Ave
Ste 300
Las Vegas, NV 89146
Phone (702) 437-9654

620 E Twain Ave
Las Vegas, NV 89169
Phone (702) 272-0025

3395 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 437-9654

Organizations & group practices 3

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1437287927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S JONES BLVD",
            "address_2": "STE. 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-437-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E. TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89169",
            "telephone_number": "702-437-9654",
            "fax_number": "702-823-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "YOLANDA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507921",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.