Kimberly R Lathan
Individual provider Active NPI Marriage & Family Therapist · Ely, NV
NPI 1801235692 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1801235692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4696 (NV)
- Practice address
- 900 Avenue O
Ely, NV 89301-2900 - Phone
- (702) 303-4286
- NPI assigned
- Jun 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tri-State Community Healthcare Center
Oasis Counseling LLC
Practice addresses (Care Compare)
2311 S Casino Dr
Laughlin, NV 89029-1535
Phone (702) 508-0308
2360 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-5082
Phone (702) 294-0433
7361 Prairie Falcon Rd
Suite 110
Las Vegas, NV 89128-0824
Phone (702) 294-0433
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521001686 | NV | Practitioner - Marriage and Family Therapist | 8022537240 | Reassigns benefits to 2 organizations |
| I20260112003321 | AZ | Practitioner - Marriage and Family Therapist | 8022537240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4696 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Healthcare Center | Current |
Accepting new patients | |
| Oasis Counseling LLC | Current |
Accepting new patients | |
| Nu Voice Therapy LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Tri-State Community Healthcare Center | Current |
Accepting new patients | |
| Kimberly Lathan Therapy LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113
2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629
2311 S Casino Dr
Ste A-3
Laughlin, NV 89029
Phone (702) 508-0308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4696 | NV | Yes |
Addresses
Primary practice location
900 Avenue O
Ely, NV 89301-2900
Mailing address
PO Box 151866
Ely, NV 89315-1212
Phone (702) 303-4286
Other providers in Ely, NV
- Ashlyn Morgan Huntington
- Jeffrey B Willes D C Inc
- William H K Kama
- Kent M Robertson OD Inc
- Emily Kay Laity-Munk
- Devin Lauritzen
- Lori A Lewis
- Elizabeth Lorraine Leyba
- Lincare Inc.
- Quincy Ann Mangum
All providers in Ely, NV · Marriage & Family Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.