Individual provider Active NPI

Janet P Nordine, LMFT, RPT-S

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1811221336
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M01398 Issued in NV
Practice address
2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100
Phone
(702) 630-8848
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 M01398 NV Primary

Addresses

Primary practice location

2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100

Mailing address

6176 Canterbury Field Rd
Las Vegas, NV 89113-1890
Phone (702) 630-8848

Other identifiers 1

IdentifierTypeStateIssuer
100518573MedicaidNV

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
M01398NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Experience Courage Therapy and Consulting Dba Las Vegas Play Therapy Marriage & Family Therapist Current Accepting new patients
Firstmed Health and Wellness Center Inc PastSince Jan 1, 2020 Accepting new patients

Locations

2655 S Rainbow Blvd
Ste 110
Las Vegas, NV 89146
Phone (702) 353-5417

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEACA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1811221336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 CANTERBURY FIELD RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131890",
            "telephone_number": "702-630-8848",
            "fax_number": "702-922-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-630-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDINE",
        "first_name": "JANET",
        "middle_name": "P",
        "credential": "LMFT, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M01398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100518573",
            "state": "NV"
        }
    ],
    "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 Jul 25, 2023; 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.