NPIMap

Organization Active NPI

Clearwaters Family Guidance and Wellness Centers LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1730489154
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CLEARWATERS FAMILY GUIDANCE AND WELLNESS CENTERS LLC
Practice address
3606 N Rancho Dr
Ste 142
Las Vegas, NV 89130-3195
Phone
(702) 778-5300
Fax
(702) 778-5301
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Ms. Trina L Robinson, LMFTNPI 1417123639
Title
Clinical Supervisor
Phone
(702) 278-0984

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Community/Behavioral Health Agency 251S00000X C20101008-0249 NV

Addresses

Primary practice location

3606 N Rancho Dr
Ste 142
Las Vegas, NV 89130-3195

Mailing address

3606 N Rancho Dr Ste 142
Las Vegas
Las Vegas, NV 89130-3130
Phone (702) 778-5300

Other names 1

  • ClearWaters Family Guidance and Wellness Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702001187 NV Part B Supplier - Clinic/Group Practice 0446763429 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1730489154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR STE 142",
            "address_2": "LAS VEGAS",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303130",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR",
            "address_2": "STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303195",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATERS FAMILY GUIDANCE AND WELLNESS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "702-278-0984",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "C20101008-0249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearWaters Family Guidance and Wellness Centers",
            "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 Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.