Individual provider Active NPI

Kari Danielle Dolembo, MFT-I

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1861230880
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4396 Issued in NV
Practice address
820 Royal Elm LN
Las Vegas, NV 89144-1420
Phone
(517) 290-4744
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 MI4396 NV Primary

Addresses

Primary practice location

820 Royal Elm LN
Las Vegas, NV 89144-1420

Mailing address

820 Royal Elm LN
Las Vegas, NV 89144-1420
Phone (517) 290-4744

Other practice location 1

6048 S Durango Dr Ste 115
Las Vegas, NV 89113-1781
Phone (702) 815-1550

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
MI4396NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1861230880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ROYAL ELM LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441420",
            "telephone_number": "517-290-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ROYAL ELM LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441420",
            "telephone_number": "517-290-4744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048 S Durango Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131781",
            "country_code": "US",
            "telephone_number": "702-815-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEMBO",
        "first_name": "KARI",
        "middle_name": "DANIELLE",
        "credential": "MFT-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4396",
            "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 Jul 26, 2024; 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.