Active NPI
Tameka Lashun Woods, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1811215551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4196-R
- Practice address
- 2810 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1993 - Phone
- (925) 231-4325
- Fax
- (480) 546-3134
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MFT001134 | GA | |
| Marriage & Family Therapist | 106H00000X | 4196-R | NV | Primary |
Addresses
Primary practice location
2810 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1993
Mailing address
3089 San Jose Dr
Decatur, GA 30032-4511
Phone (678) 613-7636
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 |
|---|---|---|---|
| MFT001134 | GA | MD | Marriage & Family Therapist |
| 4196-R | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lifestance Health
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1811215551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3089 SAN JOSE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324511",
"telephone_number": "678-613-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W CHARLESTON BLVD STE 70",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021993",
"telephone_number": "925-231-4325",
"fax_number": "480-546-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "TAMEKA",
"middle_name": "LASHUN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001134",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4196-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.