Active NPI
Triston Olivia Krysztof, M.S., LMFT
- Marriage & Family Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2682
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI0696 | NV | MD | Counselor |
| 2682 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa a Durette MD PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Lisa a Durette MD PLLC | Marriage & Family Therapist | Current | 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
- 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.
-
- Child & Adolescent Psychiatry Physician
- Las Vegas, NV
- NPI 1669679205
Marriage & Family Therapist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1235633421
Marriage & Family Therapist
-
- Child & Adolescent Psychiatry Physician
- Las Vegas, NV
- NPI 1053880856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.