Active NPI
Jessica Marie Mix-Tesmer, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1205149044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01199
- Practice address
- 5550 Painted Mirage Rd Ste 380
Las Vegas, NV 89149-4727 - Phone
- (702) 673-7796
- Fax
- (866) 611-8528
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 14282095-3902 | UT | |
| Marriage & Family Therapist | 106H00000X | 01199 | NV | Primary |
Addresses
Primary practice location
5550 Painted Mirage Rd Ste 380
Las Vegas, NV 89149-4727
Mailing address
8414 Farm Rd Ste 180
Las Vegas, NV 89131-8007
Phone (702) 673-7796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205149044 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14282095-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Mix MFT, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
5785 Centennial Center Blvd
Ste 240
Las Vegas, NV 89149
Phone (702) 469-2061
6390 W Cheyenne Ave
Ste C
Las Vegas, NV 89108
Phone (702) 673-7796
8414 Farm Rd
Ste 180
Las Vegas, NV 89131
Phone (702) 546-9600
Organizations & group practices 1
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 1215558143
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1205149044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8414 FARM RD STE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891318007",
"telephone_number": "702-673-7796",
"fax_number": "866-611-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 PAINTED MIRAGE RD STE 380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494727",
"telephone_number": "702-673-7796",
"fax_number": "866-611-8528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIX-TESMER",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "14282095-3902",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205149044",
"state": "NV"
}
],
"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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.