Jeanine Michelle Wimberly, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0860 Issued in NV

Practice address

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Phone

(702) 486-0000

Fax

(702) 486-7759

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindwell Counseling and Crisis Services LLCGroup PAC ID 6305284688, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mindwell Counseling & Crisis Services, LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1205519535

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1760639900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-486-0000",
            "fax_number": "702-486-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-486-0000",
            "fax_number": "702-486-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Charleston Blvd # 73-74",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021921",
            "country_code": "US",
            "telephone_number": "725-291-2700",
            "fax_number": "725-291-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "JEANINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "1023",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Wiltsie
• Fannessa Wiltz
• Kevin Wiltz, CNA
• Clementine Leon Wilwert, RBT
• April G Wimberly
• Shamone Wimberly
• Sandra Fumiko Wimbish
• Marche Wimbley
• Myla Wimbley
• Robert Wimmer, PA-C

• 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 Aug 31, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.