Jennifer Mitzel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3551 E Bonanza Rd
101
Las Vegas, NV 89110-0055

Phone

(702) 359-9410

NPI assigned

May 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Solutions LLCGroup PAC ID 9436469764, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapeutic Solutions LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1255703948
  Medicare reassignment Care Compare group NPD Authorized official
• BMSC NV LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1245648419
  Medicare reassignment NPD
• Oasis Counseling LLC

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1336400951
  Medicare reassignment NPD

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1295147205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 E BONANZA RD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100055",
            "telephone_number": "702-359-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 E BONANZA RD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100055",
            "telephone_number": "702-359-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZEL",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mitro
• Tatiana Mitrofanova
• Kristen Marie Mitschelen
• Isabella Marie Mitts
• Lloyd G Mitts
• Paul Mitzel
• Maria Miuccio
• Mivip Regional Surgery Center
• Heather Hope Mivshek, PH.D.
• Jessica Marie Mix-Tesmer, LMFT

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.

Verify at the official NPI Registry.