Organization Active NPI

Mindspring Therapy, LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1699054882
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01003 Issued in NV
Legal business name
MINDSPRING THERAPY, LLC
Practice address
8760 S Maryland Pkwy
Ste 110
Las Vegas, NV 89123-6708
Phone
(702) 269-0400
Fax
(702) 447-6564
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Mr. Michael E Capp
Title
Managing Partner
Phone
(702) 269-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 01003 NV Primary

Addresses

Primary practice location

8760 S Maryland Pkwy
Ste 110
Las Vegas, NV 89123-6708

Mailing address

8760 S Maryland Pkwy
Ste 110
Las Vegas, NV 89123-6708
Phone (702) 269-0400

Other identifiers 1

IdentifierTypeStateIssuer
100510517MedicaidNV

National Provider Directory

National Provider Directory

Locations

8760 S Maryland Pkwy
Ste 110
Las Vegas, NV 89123
Phone (702) 269-0400

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1699054882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 S MARYLAND PKWY",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236708",
            "telephone_number": "702-269-0400",
            "fax_number": "702-447-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 S MARYLAND PKWY",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236708",
            "telephone_number": "702-269-0400",
            "fax_number": "702-447-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPRING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "CAPP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-269-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510517",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "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 Aug 5, 2011; 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.