Active NPI
Sanctuary Counseling LLC
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1699595090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- SANCTUARY COUNSELING LLC
- Doing business as
- Prospect Wellness Center
- Practice address
- 10801 W Charleston Blvd Ste 170
Las Vegas, NV 89135-1210 - Phone
- (702) 600-6440
- NPI assigned
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheryl Goldstein, MFT
- Title
- Owner
- Phone
- (702) 308-1822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
10801 W Charleston Blvd Ste 170
Las Vegas, NV 89135-1210
Mailing address
10801 W Charleston Blvd Ste 170
Las Vegas, NV 89135-1210
Other names 1
- Prospect Wellness Center
National Provider Directory
National Provider DirectoryLocations
10801 W Charleston Blvd
Ste 170
Las Vegas, NV 89135
Phone (702) 308-1822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1104688373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1699595090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 W CHARLESTON BLVD STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 W CHARLESTON BLVD STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351210",
"telephone_number": "702-600-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-308-1822",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prospect Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.