Active NPI
Jerlyn Malasig
- Mental Health Counselor
- Henderson, NV
National Provider Identifier
1487420675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CI5286
- Practice address
- 2637 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4835 - Phone
- (702) 716-0908
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CI5286 | NV | Primary |
Addresses
Primary practice location
2637 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4835
Mailing address
2637 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4835
Phone (702) 716-0908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI5286 | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rethink Therapy, LLC | Mental Health | Past | Accepting new patients |
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": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1487420675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 W HORIZON RIDGE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524835",
"telephone_number": "702-716-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 W HORIZON RIDGE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524835",
"telephone_number": "702-716-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALASIG",
"first_name": "JERLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CI5286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.