Active NPI
Jennifer M. Kiser, PSY.D., MFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1790700730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2734-R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 37922 | CA | MD | Marriage & Family Therapist |
| 2734-R | NV | MD | Marriage & 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.