Individual provider Active NPI

Jessica Marie Mix-Tesmer, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1205149044
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01199 Issued in NV
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

Updated by the provider on May 5, 2026

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 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

IdentifierTypeStateIssuer
1205149044MedicaidNV

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

LicenseStateTypeSpecialty
14282095-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Mix MFT, Inc. Marriage & Family Therapist CurrentSince Feb 26, 2021 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.

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.

Verify at the official NPI Registry.