Active NPI
Rocky Tishma
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1982067377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2329
- Practice address
- 5420 W Sahara Ave Ste 101
Las Vegas, NV 89146-0389 - Phone
- (702) 882-7827
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 2329 | NY | Primary |
Addresses
Primary practice location
5420 W Sahara Ave Ste 101
Las Vegas, NV 89146-0389
Mailing address
5420 W Sahara Ave Ste 101
Las Vegas, NV 89146-0389
Phone (702) 882-7827
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2329 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shining Star Community Services | Rehabilitation Practitioner | Past | Accepting new patients |
| Shining Star Community Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Las Vegas, NV
- NPI 1568802742
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1639553357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1982067377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 W SAHARA AVE STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460389",
"telephone_number": "702-882-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 W SAHARA AVE STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460389",
"telephone_number": "702-882-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISHMA",
"first_name": "ROCKY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "2329",
"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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.