Individual provider Active NPI

Stephanie Michelle Pineda, LMFT, LCADC-INTERN

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1588097570
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2674 Issued in NV
Practice address
526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Phone
(702) 440-8440
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00328 NV
Marriage & Family Therapist 106H00000X 2674 NV Primary

Addresses

Primary practice location

526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013

Mailing address

526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Phone (702) 440-8440

Other names 1

  • Mrs. Stephanie Michelle Hangen Other name

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
I20240812002856 NV Practitioner - Marriage and Family Therapist 4385182112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of Nevada, Las Vegas School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Lisa a Durette MD PLLCGroup PAC ID 6103927280, 13 clinicians

Practice addresses (Care Compare)

552 E Charleston Blvd
Las Vegas, NV 89104-1319
Phone (702) 440-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00328NVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC Addiction (Substance Use Disorder) CurrentSince Jul 1, 2024 Accepting new patients
Lisa a Durette MD PLLC Marriage & Family Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

840 S Rancho Dr
#4337
Las Vegas, NV 89106

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430

552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1588097570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "702-440-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "702-440-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMFT, LCADC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00328",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HANGEN",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "LMFT, LCADC-INTERN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.