CARLY SHADID MFT
NPI 1821480161
Marriage & Family Therapist in Henderson, NV

Q: What is Carly Shadid's NPI number?

The NPI number for Carly Shadid is 1821480161. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Q: What is Carly Shadid'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 Carly Shadid was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 24, 2015PECOS EnrolledAccepts Medicare Assignment

1070 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012(702) 850-1991 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2019, Aug 10, 2018, Jun 26, 2018 (3 updates tracked since 2018).

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About Carly Shadid Mft NPPES

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

CARLY SHADID MFT (NPI 1821480161) is an individual marriage & family therapist in Henderson, Nevada, licensed in Nevada (1004) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821480161

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCARLY SHADIDCredential: MFT

Location Address1070 W HORIZON RIDGE PKWY STE 100Henderson, NV 89012-6019

Mailing Address1070 W Horizon Ridge Pkwy Ste 100Henderson, NV 89012-6019 · (702) 850-1991

Phone(702) 850-1991

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 24, 2015

Last NPPES UpdateJune 9, 20263 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1821480161 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 · 1004

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.

1070 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89012

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Other Identifiers 1

Other1004NV · Nv Board Of Mft And Cpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly Shadid Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345766796

PECOS Enrollment IDI20250429000757

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DR. AERIEL GRACE HALSTEAD PHD

Psychologist (Clinical)