Individual provider Active NPI

Vincent Edward Hartman, MFT-I

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1659559904
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4091 Issued in NV
Practice address
2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145
Phone
(702) 922-7015
Fax
(702) 922-6600
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI4091 NV Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145

Mailing address

9664 Halberns Blvd
Santee, CA 92071-2636
Phone (619) 749-7577

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vhartman@headsupnevada.com

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

LicenseStateTypeSpecialty
MI4091NVMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1659559904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 HALBERNS BLVD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712636",
            "telephone_number": "619-749-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020145",
            "telephone_number": "702-922-7015",
            "fax_number": "702-922-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "VINCENT",
        "middle_name": "EDWARD",
        "credential": "MFT-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4091",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vhartman@headsupnevada.com",
            "affiliation": "N",
            "endpointDescription": "headsupnevada.com server",
            "address_1": "2881 S Valley View Blvd Ste 1",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891020145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.