Active NPI
Mary Friendship
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1609318914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C12810
- Practice address
- 5510 S Fort Apache Rd
Las Vegas, NV 89148-7700 - Phone
- (702) 686-4777
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C12810 | NV | Primary |
Addresses
Primary practice location
5510 S Fort Apache Rd
Las Vegas, NV 89148-7700
Mailing address
8009 Pinnacle Peak Ave
Las Vegas, NV 89113-1346
Phone (702) 527-7777
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 |
|---|---|---|---|
| C12810 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1609318914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8009 PINNACLE PEAK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891131346",
"telephone_number": "702-527-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 S FORT APACHE RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487700",
"telephone_number": "702-686-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIENDSHIP",
"first_name": "MARY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "C12810",
"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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.