Individual provider Active NPI

Andrew Gerthoffer

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1922612100
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP5413 Issued in NV
Practice address
6730 S Fort Apache Rd
Las Vegas, NV 89148-5396
Phone
(702) 665-5593
Fax
(702) 665-5887
NPI assigned
Sep 3, 2020
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 CP5413 NV Primary

Addresses

Primary practice location

6730 S Fort Apache Rd
Las Vegas, NV 89148-5396

Mailing address

6730 S Fort Apache Rd
Las Vegas, NV 89148-5396
Phone (702) 665-5593

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
CP5413NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Happy Counseling, LLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

6730 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 581-9667

6730 S Fort Apache Rd
Bldg B
Las Vegas, NV 89148

6730 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 665-5593

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1922612100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485396",
            "telephone_number": "702-665-5593",
            "fax_number": "702-665-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485396",
            "telephone_number": "702-665-5593",
            "fax_number": "702-665-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTHOFFER",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP5413",
            "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 May 11, 2023; 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.