Individual provider Active NPI

Christopher David Caldwell, MA, MFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1609946235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0880 Issued in NV
Practice address
6859 W Charleston Blvd
Las Vegas, NV 89117-1600
Phone
(702) 939-5433
Fax
(702) 939-5434
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0880 NV Primary

Addresses

Primary practice location

6859 W Charleston Blvd
Las Vegas, NV 89117-1600

Mailing address

7741 Sierra Paseo LN
Las Vegas, NV 89128-2756
Phone (702) 838-4328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 16, 2024 through Oct 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0880NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Spring Counseling Center, Inc. PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609946235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 SIERRA PASEO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282756",
            "telephone_number": "702-838-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171600",
            "telephone_number": "702-939-5433",
            "fax_number": "702-939-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.