Mario Ortiz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3293-R Issued in NV

Practice address

1401 N Green Valley Pkwy Ste 260
Henderson, NV 89074-7100

Phone

(562) 556-7388

NPI assigned

Jun 27, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

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.

• Bridge Counseling Associates, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1740728716
  Medicare reassignment NPD
• Bridge Counseling Associates, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447714076
  NPD

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1457766453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N GREEN VALLEY PKWY STE 260",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747100",
            "telephone_number": "562-556-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N GREEN VALLEY PKWY STE 260",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747100",
            "telephone_number": "562-556-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Plummer St",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913114903",
            "country_code": "US",
            "telephone_number": "818-618-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052711",
            "country_code": "US",
            "telephone_number": "323-254-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116555",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF79458",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "3293-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen M Ortiz, LMFT
• Jonathan David Ortiz
• Lorraine Andrey Ortiz
• Marcy Lorraine Ortiz, LSW
• Marina Cecilia Ortiz
• Nila Ortiz
• Rossy Ortiz
• Douglas Orton, OD
• Kayla Osborne
• Kristina Osborne, MS, BCBA

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.