Organization Active NPI

Summerlin Therapy & Couples Counseling

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1952930240
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SUMMERLIN THERAPY & COUPLES COUNSELING
Practice address
10655 Park Run Dr
Las Vegas, NV 89144-4589
Phone
(702) 625-2342
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Jessica Restuch, MFT-I
Title
Therapist
Phone
(702) 625-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

10655 Park Run Dr
Las Vegas, NV 89144-4589

Mailing address

5931 Allanche Ave
Las Vegas, NV 89141-0443
Phone (612) 986-6853

National Provider Directory

National Provider Directory

Locations

10655 Park Run Dr
Las Vegas, NV 89144
Phone (504) 214-0715

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1952930240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 ALLANCHE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891410443",
            "telephone_number": "612-986-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 PARK RUN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444589",
            "telephone_number": "702-625-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN THERAPY & COUPLES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "RESTUCH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "702-625-2342",
        "authorized_official_credential": "MFT-I"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Apr 7, 2020; 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.