NPI 1598038747 · live from the CMS NPI Registry
Ida Medaglia Bach, LMFT
Marriage & Family Therapist in Henderson, NV. National Provider Identifier 1598038747, active.
NPI record
| NPI | 1598038747 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 298 Bridge Canyon St, Henderson, NV 89015 |
| Practice phone | 951-599-5524 |
| Enumerated | February 20, 2012 |
| Last updated | August 21, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 79275 (CA) |
| Marriage & Family Therapist | 106H00000X | 4812-R (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.