Active NPI
Graciela Yasmin Pacheco, MFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1730591637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90751
- Practice address
- 3275 South Jones Blvd
Suite 103
Las Vegas, NV 89146 - Phone
- (702) 800-0684
- Fax
- (510) 535-4167
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4352-R | NV | |
| Marriage & Family Therapist | 106H00000X | 90751 | CA | Primary |
Addresses
Primary practice location
3275 South Jones Blvd
Suite 103
Las Vegas, NV 89146
Mailing address
3275 South Jones Blvd
Suite 103
Las Vegas, NV 89146
Phone (702) 800-0684
Other names 1
- Grace Lilliane Ohikere (Pacheco)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4352-R | NV | MD | Marriage & Family Therapist |
| 90751 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1730591637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3275 SOUTH JONES BLVD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "702-800-0684",
"fax_number": "510-535-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 SOUTH JONES BLVD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "702-800-0684",
"fax_number": "510-535-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "GRACIELA",
"middle_name": "YASMIN",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4352-R",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "OHIKERE (PACHECO)",
"middle_name": "LILLIANE",
"credential": "MFT",
"code": "1",
"type": "Former Name"
}
]
}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 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.