Active NPI
Kaleigh Denise Mancha, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1548577844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2552
- Practice address
- 9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717 - Phone
- (702) 886-0479
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2552 | NV | Primary |
Addresses
Primary practice location
9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717
Mailing address
9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717
Phone (702) 886-0479
Other practice location 1
9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717
Phone (702) 665-5593
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2552 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1548577844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9488 W FLAMINGO RD STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891475717",
"telephone_number": "702-886-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9488 W FLAMINGO RD STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891475717",
"telephone_number": "702-886-0479"
}
],
"practiceLocations": [
{
"address_1": "9488 W Flamingo Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891475717",
"country_code": "US",
"telephone_number": "702-665-5593",
"fax_number": "702-665-5887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANCHA",
"first_name": "KALEIGH",
"middle_name": "DENISE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "2552",
"primary": true
}
],
"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 Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.