Individual provider Active NPI

Jennifer Smith

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1396502324
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP6035 Issued in NV
Practice address
5803 W Craig Rd Ste 105
Las Vegas, NV 89130-2537
Phone
(702) 901-5200
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP6035 NV Primary

Addresses

Primary practice location

5803 W Craig Rd Ste 105
Las Vegas, NV 89130-2537

Mailing address

5803 W Craig Rd Ste 105
Las Vegas, NV 89130-2537
Phone (520) 070-2901

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
I20250814002039 NV Practitioner - Mental Health Counselor 9335648799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7250 Peak Dr
Suite 214
Las Vegas, NV 89128-9027

8381 Las Lunas Way
Las Vegas, NV 89129-1820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP6035NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Psychological Services, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

7250 Peak Dr
Ste 214
Las Vegas, NV 89128
Phone (725) 485-7100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1396502324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 W CRAIG RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302537",
            "telephone_number": "520-070-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 W CRAIG RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302537",
            "telephone_number": "702-901-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP6035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.