1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Marriage Family Therapist
  6. NPI Profile

KEITH A STARK
NPI 1174887681
Marriage & Family Therapist in Las Vegas, NV

Active since June 28, 2012
3450 E RUSSELL RD, 210, LAS VEGAS, NV 89120(702) 629-4354(702) 644-0475 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith A Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH A STARK (NPI 1174887681) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in Nevada (MI4366) and active in the NPI registry since June 2012. He maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1174887681
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEITH A STARK
Location Address3450 E RUSSELL RD, 210Las Vegas, NV 89120-2201
Mailing Address10701 S Eastern Ave Apt 2618Henderson, NV 89052-4901 · (702) 538-0230
Phone(702) 629-4354
Fax(702) 644-0475
Sole ProprietorYes
Enumeration DateJune 28, 2012
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1174887681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NV · MI4366
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3450 E RUSSELL RD, Las Vegas, NV 89120
Open in Google Maps ↗

Secondary Practice Location 1

Location 111500 S Eastern Ave Ste 150Henderson, NV 89052-5576 · Phone (702) 661-7436 · Fax (702) 552-7138

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN M SMITH LMFT, LCADC
Marriage & Family Therapist
3450 E RUSSELL RD, SUITE 214
LAS VEGAS, NV 89120
Clark County (702) 530-8894
ALICIA MILLS
Social Worker (Clinical)
3450 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (702) 401-0811
DOROTHY SAFFRON
Behavior Analyst
3450 E RUSSELL RD, #106
LAS VEGAS, NV 89120
Clark County (702) 534-1044
TIFFANY L SIMMONS
Behavior Analyst
3450 E RUSSELL RD, SUITE #213
LAS VEGAS, NV 89120
Clark County (702) 979-8283
MR. PETILLO BATHA JONES JR.
Behavior Analyst
3450 E RUSSELL RD, SUITE #213
LAS VEGAS, NV 89120
Clark County (702) 629-4354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Stark's NPI number?

The NPI number for Keith Stark is 1174887681. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Keith Stark located?

Keith Stark practices at 3450 E Russell Rd 210, Las Vegas, NV 89120. The listed phone number is (702) 629-4354.

What is Keith Stark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Keith Stark was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.