Active NPI
Madison Simone Jaquez
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1982403259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2520 Saint Rose Pkwy Ste 310
Henderson, NV 89074-7790 - Phone
- (702) 495-6562
- NPI assigned
- Mar 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2520 Saint Rose Pkwy Ste 310
Henderson, NV 89074-7790
Mailing address
2520 Saint Rose Pkwy Ste 310
Henderson, NV 89074-7790
Phone (702) 992-4886
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rethink Therapy, LLC | Current | Accepting new patients |
Locations
2520 Saint Rose Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 496-6562
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Henderson, NV
- NPI 1508317256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1982403259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 SAINT ROSE PKWY STE 310",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747790",
"telephone_number": "702-992-4886",
"fax_number": "702-992-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 SAINT ROSE PKWY STE 310",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747790",
"telephone_number": "702-495-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAQUEZ",
"first_name": "MADISON",
"middle_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 10, 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.