Jessica Mix MFT, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JESSICA MIX MFT, INC.

Practice address

5785 Centennial Center Blvd Ste 240
Las Vegas, NV 89149-7108

Phone

(702) 673-7796

Fax

(866) 611-8528

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Mix-Tesmer, MFTNPI 1205149044

Title

Owner

Phone

(702) 673-7796

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Marie Mix-Tesmer, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1205149044
  NPD Authorized official
• Bryant Murphy, LCPC, LCADC

  • Professional Counselor
  • North Las Vegas, NV
  • NPI 1497145528

  Mental Health

  NPD

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1215558143",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497108",
            "telephone_number": "702-673-7796",
            "fax_number": "866-611-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MIX MFT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-06-20",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "MIX-TESMER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-673-7796",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205149044",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1215558143",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Reese Jesiel, PHARMD
• Jesse Mitchell M D Medical PC
• Johnny Jesse
• Jessica Coreen Ayala
• Jessica Foerch LLC
• Kate Lynn Jessop, APRN
• Iris Ramona Jessup
• Jesus F. Tirao, M.D. LTD
• Camren Jesus
• Jet Health Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.