Active NPI
Jennifer Marie Ice, LMFT
- Marriage & Family Therapist
- Henderson, NV
National Provider Identifier
1861164477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367 - Phone
- (702) 363-7284
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 4071 | NV | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Mailing address
1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (630) 999-9694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4071 | Other | NV | LMFT |
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 |
|---|---|---|---|
| 4071 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1861164477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1489 W WARM SPRINGS RD STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147367",
"telephone_number": "630-999-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 W WARM SPRINGS RD STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147367",
"telephone_number": "702-363-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICE",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4071",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "4071",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.