Individual provider Active NPI

Jennalyn Eigner

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1396121257
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0497 Issued in NV
Practice address
6889 S Eastern Ave
Las Vegas, NV 89119-4687
Phone
(702) 434-1200
NPI assigned
Aug 3, 2015
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0497 NV Primary

Addresses

Primary practice location

6889 S Eastern Ave
Las Vegas, NV 89119-4687

Mailing address

6889 S Eastern Ave
Las Vegas, NV 89119-4687
Phone (702) 434-1200

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
I20240126004164 NV Practitioner - Marriage and Family Therapist 6709239635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Health and Wellness LLCGroup PAC ID 9335363118, 11 clinicians

Practice addresses (Care Compare)

2921 N Tenaya Way
Las Vegas, NV 89128-1409
Phone (702) 338-8373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MI0497NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Health and Wellness, LLC CurrentSince Jan 1, 2024 Accepting new patients
Legacy Health and Wellness, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2921 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 338-8373

2921 N Tenaya Way
Ste 126
Las Vegas, NV 89128

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, 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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1396121257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6889 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194687",
            "telephone_number": "702-434-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6889 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194687",
            "telephone_number": "702-434-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIGNER",
        "first_name": "JENNALYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.