Individual provider Active NPI

Jennifer M. Kiser, PSY.D., MFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1790700730
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2734-R Issued in NV
Practice address
2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607
Phone
(702) 951-9751
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 37922 CA
Marriage & Family Therapist 106H00000X 2734-R NV Primary

Addresses

Primary practice location

2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607

Mailing address

2675 S Jones Blvd Ste 102
Las Vegas, NV 89146-5607
Phone (714) 271-0622

Other practice location 1

7836 W Sahara Ave
Las Vegas, NV 89117-1944
Phone (714) 271-0622

Other practice location 2

505 N Euclid St
Suite 300
Anaheim, CA 92801-5506
Phone (714) 450-4222

Other names 1

  • Ms. Jennifer M. Kiser Former name

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

LicenseStateTypeSpecialty
MFC 37922CAMDMarriage & Family Therapist
2734-RNVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1790700730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 S JONES BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465607",
            "telephone_number": "714-271-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S JONES BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465607",
            "telephone_number": "702-951-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7836 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171944",
            "country_code": "US",
            "telephone_number": "714-271-0622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Euclid St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015506",
            "country_code": "US",
            "telephone_number": "714-450-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISER",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 37922",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2734-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KISER",
            "middle_name": "M.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.