Jennifer Douglas, MS, CPC-INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CI5471 Issued in NV

Practice address

7433 Eggshell Dr
North Las Vegas, NV 89084-2481

Phone

(702) 530-5007

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1699596577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W CRAIG RD STE E320",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325124",
            "telephone_number": "702-301-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 EGGSHELL DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842481",
            "telephone_number": "702-530-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JENNIFER",
        "credential": "MS, CPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nnancy Dory
• Josiane Dos Santos
• Dailey Doss, PA-C
• Antone Dotson
• Quailian Dotson
• Justice Douglas
• Latoyia Douglas
• Tiffany C Douglass-Walker, LICENSED PRACTICAL N
• Felicia N Douville, LCSW
• Maria de Las Mercede Doval

• Mental Health Counselor in North Las Vegas, NV
• Providers in North 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 Oct 23, 2024; 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.