Individual provider Active NPI

Jessica Lee Hass, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1316388127
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7374-C Issued in NV
Practice address
1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Phone
(027) 578-7207
Fax
(702) 974-4677
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7374-C NV Primary

Addresses

Primary practice location

1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910

Mailing address

1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Phone (702) 757-8720

Other practice location 1

2445 Fire Mesa St Ste 270
Las Vegas, NV 89128-9015
Phone (702) 757-8720

Other identifiers 1

IdentifierTypeStateIssuer
1316388127MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicahass@theravadawellness.net Direct

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
I20171110002089 NV Practitioner - Clinical Social Worker 3678839479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC Clinical CurrentSince Feb 23, 2018 Accepting new patients
Theravada Mental Health Mo Clinical CurrentSince Jun 1, 2026 Accepting new patients

Locations

2800 W 76 Country Blvd
Ste 200
Branson, MO 65616
Phone (417) 414-0999

2950 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 757-8720

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

5715 W Alexander Rd
Ste 115
Las Vegas, NV 89130
Phone (702) 757-8720

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 757-8720

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1316388127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E WINDMILL LN STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231910",
            "telephone_number": "702-757-8720",
            "fax_number": "702-974-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E WINDMILL LN STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231910",
            "telephone_number": "027-578-7207",
            "fax_number": "702-974-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Fire Mesa St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289015",
            "country_code": "US",
            "telephone_number": "702-757-8720",
            "fax_number": "702-974-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7374-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316388127",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicahass@theravadawellness.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1607 E Windmill Ln Ste 300",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891231910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.