Individual provider Active NPI

Samra Bastian, LMFT

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1891077582
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3230 S Buffalo Dr Ste 107
Las Vegas, NV 89117-2506
Phone
(702) 606-2230
Fax
(702) 254-3146
NPI assigned
Sep 19, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3230 S Buffalo Dr Ste 107
Las Vegas, NV 89117-2506

Mailing address

3230 S Buffalo Dr Ste 107
Las Vegas, NV 89117-2506
Phone (702) 606-2230

Other practice location 1

714 E Sahara Ave
Las Vegas, NV 89104-2942
Phone (702) 369-8700

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
I20260421002777 NV Practitioner - Marriage and Family Therapist 7517433030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3311 S Rainbow Blvd
Suite 105
Las Vegas, NV 89146-6206

3311 S Rainbow Blvd
Suite 105
Las Vegas, NV 89146-6596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Counseling Center, LLC Mental Health CurrentSince Apr 1, 2026 Accepting new patients

Locations

3230 S Buffalo Dr
Ste 107
Las Vegas, NV 89117
Phone (702) 606-2230

3311 S Rainbow Blvd
Ste 105
Las Vegas, NV 89146
Phone (702) 546-6816

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891077582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-606-2230",
            "fax_number": "702-254-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-606-2230",
            "fax_number": "702-254-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 E Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891042942",
            "country_code": "US",
            "telephone_number": "702-369-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "SAMRA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.