Active NPI
Pamela King-Gantt
- Marriage & Family Therapist
- North Las Vegas, NV
National Provider Identifier
1992158224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI4029
- Practice address
- 4037 Gaster Ave
North Las Vegas, NV 89081-6697 - Phone
- (702) 778-8922
- NPI assigned
- Jul 21, 2016
- 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 | MI4029 | NV | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
4037 Gaster Ave
North Las Vegas, NV 89081-6697
Mailing address
4037 Gaster Ave
North Las Vegas, NV 89081-6697
Phone (702) 778-8922
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 |
|---|---|---|---|
| MI4029 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1992158224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 GASTER AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890816697",
"telephone_number": "702-778-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4037 GASTER AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890816697",
"telephone_number": "702-778-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-GANTT",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI4029",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.