Individual provider Active NPI

Jazmine Smith

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1134420862
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0944 Issued in NV
Practice address
7860 W Sahara Ave
Suite #170
Las Vegas, NV 89117-1944
Phone
(702) 685-0623
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0944 NV Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

7860 W Sahara Ave
Suite #170
Las Vegas, NV 89117-1944

Mailing address

3621 Broxburn St
Las Vegas, NV 89108-5340
Phone (702) 685-0623

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002128 NV Practitioner - Marriage and Family Therapist 5890232508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perceptions Counseling Center of Southern Nevada LLCGroup PAC ID 6103257100, 9 clinicians

Practice addresses (Care Compare)

3127 E Warm Springs Rd
Suite 300
Las Vegas, NV 89120-3134
Phone (702) 850-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0944NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perceptions Counseling Center of Southern Nevada LLC Marriage & Family Therapist CurrentSince Jun 27, 2024 Accepting new patients
Brokenshells Wellness Center LLC Marriage & Family Therapist CurrentSince Feb 10, 2025 Accepting new patients
Brokenshells Consulting LLC PastSince Jul 20, 2021 Accepting new patients

Locations

3127 E Warm Springs Rd
Ste 300
Las Vegas, NV 89120
Phone (702) 850-8700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1134420862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 BROXBURN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085340",
            "telephone_number": "702-685-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 W SAHARA AVE",
            "address_2": "SUITE #170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171944",
            "telephone_number": "702-685-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAZMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0944",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.