Individual provider Active NPI

Tatev Gaboyan

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1447623806
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CI3078 Issued in NV
Practice address
4055 Spencer St
Las Vegas, NV 89119-9303
Phone
(702) 799-9710
NPI assigned
Nov 6, 2015
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Personal Care Attendant 3747P1801X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X CI3078 NV Primary

Addresses

Primary practice location

4055 Spencer St
Las Vegas, NV 89119-9303

Mailing address

4055 Spencer St
Las Vegas, NV 89119-9303
Phone (702) 799-9710

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
I20240531003512 NV Practitioner - Mental Health Counselor 7113369406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Desert Behavioral HealthGroup PAC ID 3274702360, 11 clinicians

Practice addresses (Care Compare)

4055 Spencer St
Suite 118
Las Vegas, NV 89119-5250
Phone (702) 799-9710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI3078NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Behavioral Health CurrentSince May 28, 2024 Accepting new patients

Locations

2775 S Jones Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 685-3300

4055 Spencer St
Ste 118
Las Vegas, NV 89119
Phone (702) 218-6496

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1447623806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199303",
            "telephone_number": "702-799-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199303",
            "telephone_number": "702-799-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOYAN",
        "first_name": "TATEV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI3078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.