MEDICARE: KIMBERLY LOUISE ROETS MFT-INTERN

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1114204021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY LOUISE ROETS MFT-INTERN

Provider Business Mailing Address
First Line	:	9801 GAVIN STONE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-8608
Country	:	US
Telephone Number	:	775-453-3459
Fax Number	:

Provider Business Practice Location Address
First Line	:	9801 GAVIN STONE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-8608
Country	:	US
Telephone Number	:	775-453-3459
Fax Number	:

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

Provider Enumeration Date	:	11/05/2011
Last Update Date	:	11/05/2011

Similar Medicare Providers

1972857993 — JAMES ARTHUR ROETS
Practice Location Address:

9801 GAVIN STONE AVE
LAS VEGAS, NV
89145-8608

Practice Phone: 702-410-9343
Practice Fax:

1033400114 — MR. JON RICHARD WATASE
Practice Location Address:

8608 DESERT HOLLY DR
LAS VEGAS, NV
89134-8851

Practice Phone: 702-400-3819
Practice Fax:

1154740868 — CLARA WILLIAMS
Practice Location Address:

2717 ARMOR ST
N LAS VEGAS, NV
89030-8608

Practice Phone: 702-788-2362
Practice Fax: 702-586-6645

1316136443 — L VICTOR SANDOVAL, P.C.
Practice Location Address:

700 S TELSHOR BLVD , STE #1534
LAS CRUCES, NM
88011-8608

Practice Phone: 575-522-8334
Practice Fax: 575-522-1065

1780578260 — CHRISTINA PELTROP
Practice Location Address:

700 S TELSHOR BLVD STE 1536
LAS CRUCES, NM
88011-8608

Practice Phone: 575-522-8244
Practice Fax:

1023960416 — NEVADA BEST HOME CARE LLC
Practice Location Address:

1009 S CIMARRON RD
LAS VEGAS, NV
89145-2447

Practice Phone: 702-228-0819
Practice Fax: 702-537-7555

Directions to “ KIMBERLY LOUISE ROETS MFT-INTERN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.