Active NPI
Ronald Eckman Jr., LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1548917958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4776
- Practice address
- 2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892 - Phone
- (702) 448-9411
- NPI assigned
- Mar 5, 2022
- Last updated
- Sep 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI2843 | NV | |
| Marriage & Family Therapist | 106H00000X | 4776 | NV | Primary |
Addresses
Primary practice location
2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892
Mailing address
2536 Ontario Dr
Las Vegas, NV 89128-7800
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 |
|---|---|---|---|
| 4776 | NV | MD | Marriage & Family Therapist |
| MI2843 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1548917958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 ONTARIO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 REGATTA DR STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286892",
"telephone_number": "702-448-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKMAN",
"first_name": "RONALD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-05",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI2843",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4776",
"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 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.