Provider Demographics
NPI:1194114900
Name:MOHARTER, NATASHA (MA, CPC, LPCC, NCC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:MOHARTER
Suffix:
Gender:F
Credentials:MA, CPC, LPCC, NCC
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:RIBONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 753822
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89136-3822
Mailing Address - Country:US
Mailing Address - Phone:877-733-3001
Mailing Address - Fax:
Practice Address - Street 1:7318 W POST RD STE 211
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-6646
Practice Address - Country:US
Practice Address - Phone:877-733-3001
Practice Address - Fax:702-637-3077
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM101YM0800X
CALPCC9006101YM0800X
NMCCMH0198851101YP2500X
NVCP5052-R101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional