Individual provider Active NPI

Ashia Y McReynolds, LMFT, LCADCI

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1760931729
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2569 Issued in NV
Practice address
2840 E. Flamingo Road
Suite a
Las Vegas, NV 89121
Phone
(702) 578-4505
Fax
(702) 940-7599
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2569 NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00574-LC NV

Addresses

Primary practice location

2840 E. Flamingo Road
Suite a
Las Vegas, NV 89121

Mailing address

9850 S Maryland Pkwy Ste A5-389
Las Vegas, NV 89183-7146
Phone (702) 578-4505

Other names 1

  • Ashia Y Abiodun Former name

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

LicenseStateTypeSpecialty
00574-LCNVMDAddiction (Substance Use Disorder) Counselor
2569NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Alliance LV LLC Current Accepting new patients

Locations

2840 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 217-5639

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1760931729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 S MARYLAND PKWY STE A5-389",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837146",
            "telephone_number": "702-578-4505",
            "fax_number": "702-940-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 E. FLAMINGO ROAD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-578-4505",
            "fax_number": "702-940-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "ASHIA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LMFT, LCADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2569",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00574-LC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHIA",
            "last_name": "ABIODUN",
            "middle_name": "Y",
            "credential": "LMFT, LCADCI",
            "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 Nov 17, 2020; 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.