Individual provider Active NPI

Catherine Elizabeth Stock, M.A.

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1548412166
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R07065 Issued in NV
Practice address
3611 Lindell Rd
#101
Las Vegas, NV 89103-1253
Phone
(702) 367-0393
Fax
(702) 367-1067
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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 R07065 NV Primary

Addresses

Primary practice location

3611 Lindell Rd
#101
Las Vegas, NV 89103-1253

Mailing address

3611 Lindell Rd
#101
Las Vegas, NV 89103-1253
Phone (702) 367-0393

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
I20250301000146 NV Practitioner - Marriage and Family Therapist 5092236414 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 259
Las Vegas, NV 89130-4416
Phone (702) 367-0393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R07065NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1548412166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 LINDELL RD",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031253",
            "telephone_number": "702-367-0393",
            "fax_number": "702-367-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 LINDELL RD",
            "address_2": "#101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031253",
            "telephone_number": "702-367-0393",
            "fax_number": "702-367-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "R07065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.