Jaclyn D'Ambrosio

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717

Phone

(702) 665-5593

NPI assigned

Mar 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Live Happy Counseling, LLC

  • Counselor
  • Las Vegas, NV
  • NPI 1205345048
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1073753083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9488 W FLAMINGO RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9488 W FLAMINGO RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475717",
            "telephone_number": "702-665-5593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4344 W Cheyenne Ave",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890322484",
            "country_code": "US",
            "telephone_number": "702-843-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMBROSIO",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. a. Chenin, DDS, PLLC
• D.W.C Homecare L.L.C
• D' Caesar'S Care Home LLC
• Cheri D'Addario
• Meredith Nettles D'Agostino, DNP, PMHNP, CPNP
• Diane Allison D'Amore, MFT
• Mallory D'Amore
• Heather D'Andrea, BCBA
• Brooke D'Angeli, MS, CCC-SLP
• Joseph D'Angelo

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.