Individual provider Active NPI

Tiara Smith

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1801557806
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4042 Issued in NV
Practice address
6655 W Sahara Ave Ste C203
Las Vegas, NV 89146-0850
Phone
(702) 900-2784
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI4042 NV Primary

Addresses

Primary practice location

6655 W Sahara Ave Ste C203
Las Vegas, NV 89146-0850

Mailing address

6847 Tree Haven CT
Las Vegas, NV 89146-5174

Other practice location 1

3320 N Buffalo Dr Ste 207
Las Vegas, NV 89129-7411
Phone (702) 659-4825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106002262 OH Practitioner - Marriage and Family Therapist 2466986971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lindner Center of Hope Professional AssociatesGroup PAC ID 7012236409, 72 clinicians

Practice addresses (Care Compare)

4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI4042NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindner Center of Hope Professional Associates CurrentSince Sep 19, 2024 Accepting new patients
The Craig and Frances Lindner Center of Hope CurrentSince Sep 19, 2024 Accepting new patients
Community Behavioral Health, Inc. Past Accepting new patients

Locations

4075 Old Western Row Rd
Mason, OH 45040
Phone (513) 536-0232

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1801557806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 TREE HAVEN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE C203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460850",
            "telephone_number": "702-900-2784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 N Buffalo Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297411",
            "country_code": "US",
            "telephone_number": "702-659-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.