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ANDREA KHAMVONGSA
NPI 1962102525
Marriage & Family Therapist in Las Vegas, NV

Active since March 03, 2023
9644 AQUA HARBOR WAY, LAS VEGAS, NV 89178(702) 595-4167 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Andrea Khamvongsa NPPES

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

ANDREA KHAMVONGSA (NPI 1962102525) is an individual marriage & family therapist in Las Vegas, Nevada and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1962102525
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANDREA KHAMVONGSA
Location Address9644 AQUA HARBOR WAYLas Vegas, NV 89178-2455
Mailing Address9644 Aqua Harbor WayLas Vegas, NV 89178-2455 · (702) 595-4167
Phone(702) 595-4167
Sole ProprietorYes
Enumeration DateMarch 3, 2023
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1962102525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
9644 AQUA HARBOR WAY, Las Vegas, NV 89178
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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 Andrea Khamvongsa's NPI number?

The NPI number for Andrea Khamvongsa is 1962102525. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Where is Andrea Khamvongsa located?

Andrea Khamvongsa practices at 9644 Aqua Harbor Way, Las Vegas, NV 89178. The listed phone number is (702) 595-4167.

What is Andrea Khamvongsa'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 Andrea Khamvongsa was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.