Jennifer L Stephenson, PH.D., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2823 Issued in NV

Practice address

8565 S Eastern Ave Ste 118
Las Vegas, NV 89123-2810

Phone

(702) 701-3308

NPI assigned

Dec 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Jennifer Casillas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jennifer L Stephenson, PH.D. PLLC

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1346994480
  NPD Authorized official
• St. Jude'S Ranch for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Boulder City, NV
  • NPI 1043377708
  NPD (past)
• St. Jude'S Ranch for Children

  • Community/Behavioral Health Agency
  • Boulder City, NV
  • NPI 1215528260

  Rehabilitation Practitioner

  NPD (past)
• St. Jude'S Ranch for Children

  • Community/Behavioral Health Agency
  • Boulder City, NV
  • NPI 1790089209
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1487052239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232810",
            "telephone_number": "702-701-3308",
            "fax_number": "702-701-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232810",
            "telephone_number": "702-701-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "2823",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "MFT803",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT27",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CASILLAS",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Laverne Stephens
• Wendy Jeanne Stephens, RDN, LD
• Charlotte Stephenson
• Cydne Miner Stephenson
• Ellyauna Jennah Stephenson
• Johanna Stephenson
• John Edward Stephenson, DDS
• Sarah Elizabeth Stephenson
• Stefanae Stephenson, RBT
• Tikisha Stephenson

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.