Active NPI
Keystone Counseling and Consulting, LLC
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1447508882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI0248
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194025114 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
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.