Individual provider Active NPI

Teronia Gilmore, LMFT

  • Marriage & Family Therapist
  • North Las Vegas, NV
National Provider Identifier
1487964946
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2750 Issued in NV
Practice address
6551 McCarran St Apt 1043
North Las Vegas, NV 89086-1437
Phone
(216) 324-6047
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2750 NV Primary

Addresses

Primary practice location

6551 McCarran St Apt 1043
North Las Vegas, NV 89086-1437

Mailing address

6551 McCarran St Apt 1043
North Las Vegas, NV 89086-1437
Phone (216) 324-6047

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
I20250904003043 NV Order and Referring Only - Marriage and Family Therapist 7012419526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2750NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Peace Center LLC Marriage & Family Therapist Current Accepting new patients

Locations

1230 W Owens Ave
Ste 6
Las Vegas, NV 89106
Phone (702) 636-1393

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1487964946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 MCCARRAN ST APT 1043",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861437",
            "telephone_number": "216-324-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 MCCARRAN ST APT 1043",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861437",
            "telephone_number": "216-324-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "TERONIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.