Individual provider Active NPI

Jessica Kay Halling, LCSW

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1316452139
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11737-C Issued in NV
Practice address
2920 N Green Valley Pkwy Ste 312
Henderson, NV 89014-0412
Phone
(702) 935-0025
NPI assigned
Dec 4, 2017
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 11737-C NV Primary

Addresses

Primary practice location

2920 N Green Valley Pkwy Ste 312
Henderson, NV 89014-0412

Mailing address

9850 S Maryland Pkwy Ste A5
#380
Las Vegas, NV 89183-7148
Phone (702) 569-3766

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
I20241112002116 NV Practitioner - Clinical Social Worker 7416481585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
True Life Coaching LLCGroup PAC ID 4981969771, 8 clinicians

Practice addresses (Care Compare)

2780 S Jones Blvd
Suite 115D
Las Vegas, NV 89146-5625
Phone (702) 935-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11737-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Life Coaching LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

2920 N Green Valley Pkwy
Ste 312
Henderson, NV 89014
Phone (702) 253-1173

2780 S Jones Blvd
Ste 115D
Las Vegas, NV 89146
Phone (702) 935-0025

2780 S Jones Blvd
Ste 205
Las Vegas, NV 89146
Phone (702) 217-8030

2550 Nature Park Dr
Ste 210
North Las Vegas, NV 89084
Phone (702) 935-0025

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1316452139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 S MARYLAND PKWY STE A5",
            "address_2": "#380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837148",
            "telephone_number": "702-569-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140412",
            "telephone_number": "702-935-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLING",
        "first_name": "JESSICA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11737-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.