Jody Marshall, LCPC, LCADC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2840 E Flamingo Rd Ste a
Las Vegas, NV 89121-5201

Phone

(702) 217-5639

Fax

(702) 441-1262

NPI assigned

Sep 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marshall Mental Health Professional name

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

Medicare enrollment (NPD)

Enrolled

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.

• Marshall Mental Health, LLC

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1932926763
  NPD Authorized official
• Therapists' Alliance, LLP

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1205588852
  NPD Authorized official
• Community Counseling Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1609920784
  NPD (past)

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1629385604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "702-217-5639",
            "fax_number": "702-441-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215201",
            "telephone_number": "702-217-5639",
            "fax_number": "702-441-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JODY",
        "credential": "LCPC, LCADC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHALL",
            "last_name": "HEALTH",
            "middle_name": "MENTAL",
            "credential": "LCPC, LCADC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gwendolyn Marshall
• Jamiah Marshall
• Jean-Pierre Marshall, B.S.
• Jennifer Marshall
• Jerrelle Marshall
• Joseph Marshall
• Joy Marshall, R.N.
• Jshauntae Marshall
• Juanita Marshall
• Judye R Marshall, LADC

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.