KAILEY JIA XIN GRANSTROM MFT-I
NPI 1295398121
Marriage & Family Therapist in Las Vegas, NV

Q: What is Kailey Granstrom's NPI number?

The NPI number for Kailey Granstrom is 1295398121. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Kailey Granstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kailey Granstrom was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since April 16, 2019

3455 CLIFF SHADOWS PKWY STE 220, LAS VEGAS, NV 89129(702) 673-4745 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Apr 16, 2019 (2 updates tracked since 2019).

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About Kailey Jia Xin Granstrom Mft-i NPPES

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

KAILEY JIA XIN GRANSTROM MFT-I (NPI 1295398121) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in Nevada (4335) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1295398121

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKAILEY JIA XIN GRANSTROMCredential: MFT-I

Location Address3455 CLIFF SHADOWS PKWY STE 220Las Vegas, NV 89129-1077

Mailing Address9050 W Warm Springs Rd Unit 1113Las Vegas, NV 89148-3830 · (203) 908-5365

Phone(702) 673-4745

Sole ProprietorNo

Enumeration DateApril 16, 2019

Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1295398121 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 · 4335

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.

3455 CLIFF SHADOWS PKWY STE 220, Las Vegas, NV 89129

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Other Providers at the Same Location NPPES 13

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

ANGIE OLIVEROS MFT-I

Marriage & Family Therapist