Individual provider Active NPI

Latosha Renee Brooks, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1841590049
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0196 Issued in NV
Practice address
4085 N Rancho Dr
Suite120
Las Vegas, NV 89130-3466
Phone
(702) 651-0507
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 MI0196 NV Primary

Addresses

Primary practice location

4085 N Rancho Dr
Suite120
Las Vegas, NV 89130-3466

Mailing address

4085 N Rancho Dr
Suite120
Las Vegas, NV 89130-3466
Phone (702) 651-0507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240328000858 NV Practitioner - Marriage and Family Therapist 5496191991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providing Hope LLCGroup PAC ID 0547607376, 2 clinicians

Practice addresses (Care Compare)

3175 E Warm Springs Rd
Suite 135
Las Vegas, NV 89120-3138
Phone (702) 845-0438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0196NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bigger Picture Wellness LLC Marriage & Family Therapist Current Accepting new patients
Providing Hope LLC CurrentSince Jan 23, 2024 Accepting new patients

Locations

3175 E Warm Springs Rd
Ste 135
Las Vegas, NV 89120
Phone (702) 308-3335

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1841590049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 N RANCHO DR",
            "address_2": "SUITE120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303466",
            "telephone_number": "702-651-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 N RANCHO DR",
            "address_2": "SUITE120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303466",
            "telephone_number": "702-651-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LATOSHA",
        "middle_name": "RENEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2022-06-10",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.