Individual provider Active NPI

Laura Ann Sutton

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1851653505
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0770 Issued in NV
Practice address
601 N Pecos Rd
Las Vegas, NV 89101-2408
Phone
(702) 455-2202
Fax
(702) 455-0185
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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 0770 NV Primary

Addresses

Primary practice location

601 N Pecos Rd
Las Vegas, NV 89101-2408

Mailing address

601 N Pecos Rd
Las Vegas, NV 89101-2408
Phone (702) 455-2202

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
I20251009001484 NV Practitioner - Marriage and Family Therapist 2567969181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

98 E Lake Mead Pkwy
Suite 301
Henderson, NV 89015-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bamboo Sunrise LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

98 E Lake Mead Pkwy
Ste 201
Henderson, NV 89015
Phone (702) 564-1758

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.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1851653505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012408",
            "telephone_number": "702-455-2202",
            "fax_number": "702-455-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012408",
            "telephone_number": "702-455-2202",
            "fax_number": "702-455-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.