Active NPI
Carly Lauren Kramer, M.S
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1912312240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01513
- Practice address
- 3606 N Rancho Dr
Suite 142
Las Vegas, NV 89130-3195 - Phone
- (702) 778-5300
- NPI assigned
- Jun 25, 2014
- Last updated
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI0531 | NV | |
| Marriage & Family Therapist | 106H00000X | 01513 | NV | Primary |
Addresses
Primary practice location
3606 N Rancho Dr
Suite 142
Las Vegas, NV 89130-3195
Mailing address
10040 W Cheyenne Ave Ste 170-41
Las Vegas, NV 89129-7719
Phone (702) 323-4050
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01513 | NV | MD | Marriage & Family Therapist |
| MI0531 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternal Minds Counseling | Marriage & Family Therapist | Current | Accepting new patients |
| Clearwaters Family Guidance and Wellness Centers,LLC | Past | Accepting new patients | |
| Clearwaters Family Guidance and Wellness Centers LLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1124646500
-
dba ClearWaters Family Guidance and Wellness Centers
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1730489154
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1326482514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1912312240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10040 W CHEYENNE AVE STE 170-41",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297719",
"telephone_number": "702-323-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 N RANCHO DR",
"address_2": "SUITE 142",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303195",
"telephone_number": "702-778-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "CARLY",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "M.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0531",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01513",
"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 Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.