Individual provider Active NPI

Jill Pennington, MFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1407114317
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4172 Issued in NV
Practice address
3127 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3134
Phone
(702) 850-8700
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 4172 NV Primary

Addresses

Primary practice location

3127 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3134

Mailing address

2101 Diamond Brook CT
Las Vegas, NV 89117-1866
Phone (702) 764-9231

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
I20240506001355 NV Practitioner - Marriage and Family Therapist 5991145096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perceptions Counseling Center of Southern Nevada LLCGroup PAC ID 6103257100, 9 clinicians

Practice addresses (Care Compare)

3127 E Warm Springs Rd
Suite 300
Las Vegas, NV 89120-3134
Phone (702) 850-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perceptions Counseling Center of Southern Nevada LLC Marriage & Family Therapist CurrentSince Mar 10, 2024 Accepting new patients

Locations

3127 E Warm Springs Rd
Ste 300
Las Vegas, NV 89120
Phone (702) 850-8700

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1407114317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 DIAMOND BROOK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171866",
            "telephone_number": "702-764-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203134",
            "telephone_number": "702-850-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.