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Andrea Salazar PLLC

Marriage & Family Therapist in Las Vegas, NV. Organization (NPI-2).

NPI number1154227635
StatusActive
Last updated in NPPESOct 20, 2026

Details

NPI
1154227635
Entity type
Organization (NPI-2)
Legal business name
Andrea Salazar PLLC
Organization subpart
No
Enumeration date
Oct 20, 2026
Certification date
Oct 19, 2026
Last updated
Oct 20, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Practice location

9644 Aqua Harbor Way
Las Vegas, NV 89178-2455

Phone 702-595-4167

Mailing address

9644 Aqua Harbor Way
Las Vegas, NV 89178-2455

Phone 702-595-4167

Authorized official

Andrea Khamvongsa
Owner/Provider
7025954167

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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