Individual provider Active NPI

Kathryn Devis Antolin, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1487950820
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01471 Issued in NV
Practice address
7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone
(850) 889-0929
NPI assigned
Feb 2, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 98266 CA
Marriage & Family Therapist 106H00000X 01471 NV Primary
Counselor 101Y00000X 20000403-810 NV
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646

Mailing address

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone (850) 889-0929

Other practice location 1

17111 Beach Blvd
Suite 205
Huntington Beach, CA 92647-5960
Phone (850) 889-0929

Other practice location 2

3230 S Buffalo Dr Ste 107
Las Vegas, NV 89117-2506
Phone (850) 889-0929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20000403-810NVMDCounselor
98266CAMDMarriage & Family Therapist
01471NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487950820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "850-889-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "850-889-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17111 Beach Blvd",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926475960",
            "country_code": "US",
            "telephone_number": "850-889-0929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 S Buffalo Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891172506",
            "country_code": "US",
            "telephone_number": "850-889-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTOLIN",
        "first_name": "KATHRYN",
        "middle_name": "DEVIS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98266",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01471",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "20000403-810",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.