Organization Active NPI

Experience Courage Therapy and Consulting Dba Las Vegas Play Therapy

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1538840384
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EXPERIENCE COURAGE THERAPY AND CONSULTING DBA LAS VEGAS PLAY THERAPY
Doing business as
Las Vegas Play Therapy
Practice address
2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100
Phone
(702) 630-8848
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Janet Nordine, MS, LMFT, RPT-SNPI 1811221336
Title
Clinical Director
Phone
(702) 630-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100

Mailing address

2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100
Phone (702) 630-8848

Other names 1

  • Las Vegas Play Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1538840384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-630-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-630-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE COURAGE THERAPY AND CONSULTING DBA LAS VEGAS PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "NORDINE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-630-8848",
        "authorized_official_credential": "MS, LMFT, RPT-S"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Play Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2023; 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.