Individual provider Active NPI

Matthew Stoll

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1679841639
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0281 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
Dec 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 MI0281 NV Primary

Addresses

Primary practice location

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

Mailing address

2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145
Phone (702) 922-7015

Other practice location 1

2431 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-5783
Phone (702) 331-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250325001076 NV Practitioner - Marriage and Family Therapist 8224551858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV Behavioral Health Services LLCGroup PAC ID 0042758161, 3 clinicians

Practice addresses (Care Compare)

2431 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-5783
Phone (702) 331-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0281NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NV Behavioral Health Services LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

2431 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 331-9333

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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1679841639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [
        {
            "address_1": "2431 W Horizon Ridge Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525783",
            "country_code": "US",
            "telephone_number": "702-331-9333",
            "fax_number": "702-441-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLL",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.