Timothy Matthew Fraiser, MFT-INT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI4429 Issued in NV

Practice address

3243 E Warm Springs Rd
Las Vegas, NV 89120-3185

Phone

(702) 434-7290

NPI assigned

Sep 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renewing Life Center

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1699174839
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1750108056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 NEW JOURNEY WAY",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890310533",
            "telephone_number": "702-277-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203185",
            "telephone_number": "702-434-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAISER",
        "first_name": "TIMOTHY",
        "middle_name": "MATTHEW",
        "credential": "MFT-INT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Fraga
• Diana L Fragapane
• Isbey Fragela
• Valerie Fraggi
• Elizabeth Manger Fragoso, PT
• Ionana Fraizer
• Roderick F Fraizer Jr.
• Christianna Fraley
• Michael Thomas Fraley II
• Grace Fralick

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.