MEDICARE: TARYN C SMITH MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	01342	NV
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	00237	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104199926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN C SMITH MFT

Provider Business Mailing Address
First Line	:	280 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2936
Country	:	US
Telephone Number	:	702-759-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2936
Country	:	US
Telephone Number	:	702-759-1000
Fax Number	:	702-759-1000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2012
Last Update Date	:	03/24/2026

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Directions to “ TARYN C SMITH MFT” Practice Location

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