Organization Active NPI

Keystone Counseling and Consulting, LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1447508882
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0248 Issued in NV
Legal business name
KEYSTONE COUNSELING AND CONSULTING, LLC
Practice address
4155 N Rancho Dr Ste 120
Las Vegas, NV 89130-3448
Phone
(702) 546-6214
NPI assigned
Aug 15, 2012
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Hannah S Bradley, LMFT
Title
Owner
Phone
(702) 546-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0248 NV Primary

Addresses

Primary practice location

4155 N Rancho Dr Ste 120
Las Vegas, NV 89130-3448

Mailing address

10637 Strand City Ave
Las Vegas, NV 89166-7131
Phone (702) 546-6214

Other practice location 1

2975 S Rainbow Blvd
Suite K
Las Vegas, NV 89146-6242
Phone (702) 546-6214

Other identifiers 1

IdentifierTypeStateIssuer
1194025114MedicaidNV

National Provider Directory

National Provider Directory

Locations

2975 S Rainbow Blvd
Ste K
Las Vegas, NV 89146
Phone (702) 533-7324

4155 N Rancho Dr
Ste 120
Las Vegas, NV 89130
Phone (702) 426-7554

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1447508882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10637 STRAND CITY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891667131",
            "telephone_number": "702-546-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 N RANCHO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303448",
            "telephone_number": "702-546-6214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 S Rainbow Blvd",
            "address_2": "Suite K",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891466242",
            "country_code": "US",
            "telephone_number": "702-546-6214",
            "fax_number": "702-839-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-546-6214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194025114",
            "state": "NV"
        }
    ],
    "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 Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.