Individual provider Active NPI

Triston Olivia Krysztof, M.S., LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1659816601
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2682 Issued in NV
Practice address
9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Phone
(702) 758-3582
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MI0696 NV
Marriage & Family Therapist 106H00000X 2682 NV Primary

Addresses

Primary practice location

9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312

Mailing address

9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Phone (702) 758-3582

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Triston.krysztof@healthymindslv.com Healthy Minds

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • 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
I20240809000001 NV Practitioner - Marriage and Family Therapist 8729525688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MI0696NVMDCounselor
2682NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC Marriage & Family Therapist CurrentSince Jul 1, 2024 Accepting new patients
Lisa a Durette MD PLLC Marriage & Family Therapist CurrentSince Jul 1, 2024 Accepting new patients
Stark Medicine McKay Khurana Jeider PLLC Past Accepting new patients

Locations

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

526 S Tonopah Dr
Ste 140160
Las Vegas, NV 89106
Phone (702) 440-8440

840 S Rancho Dr
#4337
Las Vegas, NV 89106

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430

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

7291 W Charleston Blvd
Ste 120
Las Vegas, NV 89117
Phone (702) 440-8440

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

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

Interoperability endpoints

  • Direct secure messaging: triston.krysztof@healthymindslv.com

Organizations & group practices 3

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1659816601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-758-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-758-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSZTOF",
        "first_name": "TRISTON",
        "middle_name": "OLIVIA",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "MI0696",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Triston.krysztof@healthymindslv.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Healthy Minds",
            "address_1": "6600 W Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891469001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.