Individual provider Active NPI

Linda Ampofo, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1699175505
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4355 Issued in NV
Practice address
5940 S Rainbow Blvd Ste 400
Las Vegas, NV 89118-2507
Phone
(702) 372-2450
NPI assigned
Aug 27, 2014
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 4355 NV Primary

Addresses

Primary practice location

5940 S Rainbow Blvd Ste 400
Las Vegas, NV 89118-2507

Mailing address

5940 S Rainbow Blvd Ste 400
Las Vegas, NV 89118-2540
Phone (702) 372-2450

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
I20240509003773 NV Practitioner - Mental Health Counselor 7214378173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4355NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fundamental Behavioral Services LLC CurrentSince Apr 29, 2024 Accepting new patients
Eugene Rosenman MD Professional Corporation Past Accepting new patients

Locations

3035 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 751-2547

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1699175505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182540",
            "telephone_number": "702-372-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182507",
            "telephone_number": "702-372-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPOFO",
        "first_name": "LINDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.