Individual provider Active NPI

Tiffany Jansen

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1760942098
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5689 Issued in NV
Practice address
9848 Elk Grove Valley St
Las Vegas, NV 89178-4804
Phone
(910) 391-7557
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Professional Counselor 101YP2500X CP5689 NV Primary
Professional Counselor 101YP2500X CI676 NV

Addresses

Primary practice location

9848 Elk Grove Valley St
Las Vegas, NV 89178-4804

Mailing address

9848 Elk Grove Valley St
Las Vegas, NV 89178-4804
Phone (910) 391-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI676NVMDProfessional Counselor
CP5689NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Solutions LLC Professional CurrentSince Mar 20, 2024 Accepting new patients
St. Jude's Ranch for Children Rehabilitation Practitioner PastSince Feb 7, 2021 Accepting new patients
Insight Medical Clinicians PA Professional PastSince Jan 1, 2025 Accepting new patients

Locations

2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

Organizations & group practices 3

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1760942098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 ELK GROVE VALLEY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784804",
            "telephone_number": "910-391-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 ELK GROVE VALLEY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784804",
            "telephone_number": "910-391-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5689",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.