Active NPI
Jazmyne Marilee Whitlow
- Marriage & Family Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI4209
- Practice address
- 526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013 - Phone
- (702) 440-8440
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NV | ||
| Marriage & Family Therapist | 106H00000X | MI4209 | NV | Primary |
Addresses
Primary practice location
526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Mailing address
6363 S Pecos Rd Ste 206
Las Vegas, NV 89120-6293
Phone (317) 617-6356
Other practice location 1
6363 S Pecos Rd Ste 206
Las Vegas, NV 89120-6293
Phone (317) 617-6356
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906001767 | NV | Order and Referring Only - Marriage and Family Therapist | 2860932712 |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- University of Nevada, Las Vegas School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3650 Stober Blvd Apt
Suite 193
Las Vegas, NV 89103-1591
4760 S Pecos Rd
Suite 103
Las Vegas, NV 89121-5828
840 S Rancho Dr
4 337
Las Vegas, NV 89106-3837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI4209 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa a Durette MD PLLC | Marriage & Family Therapist | Past | Accepting new patients |
| Lisa a Durette MD PLLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1235633421
Marriage & Family Therapist
-
- Child & Adolescent Psychiatry Physician
- Las Vegas, NV
- NPI 1669679205
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1124632963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 S PECOS RD STE 206",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891206293",
"telephone_number": "317-617-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 S TONOPAH DR STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064013",
"telephone_number": "702-440-8440"
}
],
"practiceLocations": [
{
"address_1": "6363 S Pecos Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891206293",
"country_code": "US",
"telephone_number": "317-617-6356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITLOW",
"first_name": "JAZMYNE",
"middle_name": "MARILEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI4209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.