Individual provider Active NPI

Jenny Lyn L Ledesma, LMFT

  • Marriage & Family Therapist
  • North Las Vegas, NV
National Provider Identifier
1316206758
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2708 Issued in NV
Practice address
3465 W Craig Rd Ste D
North Las Vegas, NV 89032-5121
Phone
(702) 300-5128
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 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 2708 NV Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

3465 W Craig Rd Ste D
North Las Vegas, NV 89032-5121

Mailing address

6885 Painted Morning Ave
Las Vegas, NV 89142-3645
Phone (702) 300-5128

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
I20241107004224 NV Practitioner - Marriage and Family Therapist 4688108038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0348NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Care Wellness LLC Marriage & Family Therapist CurrentSince Aug 28, 2024 Accepting new patients
State of Nevada Past Accepting new patients

Locations

3465 W Craig Rd
Ste D
North Las Vegas, NV 89032
Phone (702) 854-5402

5135 Camino Al Norte
Ste 259
North Las Vegas, NV 89031
Phone (702) 544-5654

Organizations & group practices 2

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1316206758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 PAINTED MORNING AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891423645",
            "telephone_number": "702-300-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 W CRAIG RD STE D",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325121",
            "telephone_number": "702-300-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "JENNY LYN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2708",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.