Active NPI
Traci K Muramoto, MA, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1639525835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4315-R
- Practice address
- 4220 S Maryland Pkwy BLDG a
Las Vegas, NV 89119-7533 - Phone
- (415) 424-4266
- Fax
- (415) 520-6633
- NPI assigned
- May 6, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-746 | HI | |
| Marriage & Family Therapist | 106H00000X | 125389 | IA | |
| Marriage & Family Therapist | 106H00000X | 4315-R | NV | Primary |
Addresses
Primary practice location
4220 S Maryland Pkwy BLDG a
Las Vegas, NV 89119-7533
Mailing address
8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266
Other practice location 1
699 Walnut St Ste 400
Des Moines, IA 50309-3962
Phone (415) 424-4266
Other practice location 2
500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone (415) 424-4266
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250021906 | Medicaid | NV | |
| 002830 | Medicaid | HI | |
| 0140431 | Medicaid | IA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-746 | HI | MD | Marriage & Family Therapist |
| 125389 | IA | MD | Marriage & Family Therapist |
| 4315-R | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Services USA | Marriage & Family Therapist | Past | 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": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1639525835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 ESTERS BLVD STE 900",
"city": "IRVING",
"state": "TX",
"postal_code": "750632233",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 S MARYLAND PKWY BLDG A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197533",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
}
],
"practiceLocations": [
{
"address_1": "699 Walnut St Ste 400",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093962",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Ala Moana Blvd Ste 7400",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968134902",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURAMOTO",
"first_name": "TRACI",
"middle_name": "K",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT-746",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "125389",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4315-R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250021906",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002830",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0140431",
"state": "IA"
}
],
"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 Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.