Individual provider Active NPI

Johanin P Stewart, MS, MFT, LCADC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1467719070
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2692 Issued in NV
Practice address
4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone
(702) 474-6450
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2692 NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06606-LC NV
Behavior Analyst 103K00000X

Addresses

Primary practice location

4221 McLeod Dr
Las Vegas, NV 89121-5215

Mailing address

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone (702) 474-6450

Other practice location 1

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • 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
I20250418001590 NV Practitioner - Marriage and Family Therapist 4587189857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
06606-LCNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling Associates, Inc Current Accepting new patients
Bridge Counseling Associates, Inc CurrentSince Mar 11, 2025 Accepting new patients

Locations

4221 McLeod Dr
Las Vegas, NV 89121
Phone (702) 474-6450

1640 Alta Dr
Ste 4
Las Vegas, NV 89106
Phone (702) 474-6450

Interoperability endpoints

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

Organizations & group practices 2

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1467719070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215215",
            "telephone_number": "702-474-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215215",
            "telephone_number": "702-474-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Alta Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064165",
            "country_code": "US",
            "telephone_number": "702-474-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOHANIN",
        "middle_name": "P",
        "credential": "MS, MFT, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2692",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06606-LC",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.