Individual provider Active NPI

Sophia A Bartone, LMFT, CADC-I

  • Marriage & Family Therapist
  • Boston, MA
National Provider Identifier
1679919666
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-01480 Issued in NV
Practice address
101 Arch St
Boston, MA 02110-1130
Phone
(702) 723-8822
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC-I 01106 NV
Marriage & Family Therapist 106H00000X MFT-01480 NV Primary

Addresses

Primary practice location

101 Arch St
Boston, MA 02110-1130

Mailing address

101 Arch St
Boston, MA 02110-1130
Phone (702) 723-8822

Other practice location 1

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (702) 525-6913

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
I20250107004084 NV Practitioner - Marriage and Family Therapist 4880122605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nibiru Medical Center LLCGroup PAC ID 2567906720, 3 clinicians

Practice addresses (Care Compare)

3430 E Flamingo Rd
Suite 300
Las Vegas, NV 89121-5066
Phone (702) 637-7535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CADC-I 01106NVMDAddiction (Substance Use Disorder) Counselor
MFT-01480NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom & Bloom PLLC Marriage & Family Therapist Current Accepting new patients
Nibiru Medical Center LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

3430 E Flamingo Rd
Ste 300
Las Vegas, NV 89121
Phone (702) 452-0044

2235 E Flamingo Rd
Ste 205
Las Vegas, NV 89119
Phone (702) 637-7535

Organizations & group practices 2

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1679919666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101130",
            "telephone_number": "702-723-8822",
            "fax_number": "702-964-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARCH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101130",
            "telephone_number": "702-723-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Town Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446308",
            "country_code": "US",
            "telephone_number": "702-525-6913",
            "fax_number": "702-964-1371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTONE",
        "first_name": "SOPHIA",
        "middle_name": "A",
        "credential": "LMFT, CADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "CADC-I 01106",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MFT-01480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.