Individual provider Active NPI

Anthony Lee

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1497048300
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2731 Issued in NV
Practice address
2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910
Phone
(725) 291-2700
Fax
(725) 291-2701
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2731 NV Primary

Addresses

Primary practice location

2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910

Mailing address

2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910
Phone (725) 291-2700

Other practice location 1

6171 W Charleston Blvd
Las Vegas, NV 89146-1126
Phone (702) 486-0000

Other practice location 2

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (725) 291-2700

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
I20240412004191 NV Practitioner - Marriage and Family Therapist 1759729049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindwell Counseling and Crisis Services LLCGroup PAC ID 6305284688, 5 clinicians

Practice addresses (Care Compare)

2810 W Charleston Blvd
73 74
Las Vegas, NV 89102-1921
Phone (725) 291-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Counseling & Crisis Services, LLC Marriage & Family Therapist CurrentSince Aug 11, 2023 Accepting new patients
Synergy Mental Health Services, Inc Current Accepting new patients

Locations

1903 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 966-3121

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

2810 W Charleston Blvd
#7374
Las Vegas, NV 89102
Phone (702) 331-2142

2810 W Charleston Blvd
Ste 74
Las Vegas, NV 89102
Phone (702) 331-2142

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1497048300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 74",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "725-291-2700",
            "fax_number": "725-291-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 74",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "725-291-2700",
            "fax_number": "725-291-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6171 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461126",
            "country_code": "US",
            "telephone_number": "702-486-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5940 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182506",
            "country_code": "US",
            "telephone_number": "725-291-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.