Jessica Ingersoll

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M13404 Issued in NV

Practice address

10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590

Phone

(702) 550-8650

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962227157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494727",
            "telephone_number": "702-550-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 PARK RUN DR STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444590",
            "telephone_number": "702-550-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Painted Mirage Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494727",
            "country_code": "US",
            "telephone_number": "702-550-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M13404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armetta Ingalise
• Emily Ingalls
• Skylar Ingalls
• Oscar Alberto Ingaramo, M.D.
• Beverley F Ingelson, PHD RN
• Jessica C Ingersoll
• Ingham Neuroscience Group LLC
• Alyssa Ingham
• Catherine Ingham
• Maxine Bonnie Ingham, MD

• 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 Dec 5, 2024; 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.