Jessica Mix Mft
Community/Behavioral Health

Address: 6390 W Cheyenne Ave Ste F, Las Vegas, NV 89108-6008
Phone: 7026737796

Jessica Mix Mft (NPI# 1215558143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215558143
Entity Type Organization
Organization Name JESSICA MIX MFT
Practice Address 6390 W Cheyenne Ave Ste F
Las Vegas
NV 89108-6008
Practice Telephone 7026737796
Mailing Address Po Box 752913
Las Vegas
NV 89136-2913
Mailing Telephone 8444644434
Mailing Fax Number 8177859433
Authorized Official Name Kisa Davis (CREDENTIALING SPECIALIST)
Authorized Official Telephone 7026882639
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-01
Last Update Date 2020-05-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities
No 305S00000X Point of Service Managed Care Organizations
Yes 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Identifier Issuer Type Code
NV 1205149044 OTHER INDIVIDUAL NPI

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104455476 Phoenix Behavioral Group LLC Community/Behavioral Health 304 S Jones Blvd # 991, Las Vegas, NV 89107-2623 2020-04-07
1225666597 Gwendolyn Mallory Community/Behavioral Health 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 2020-03-31
1689201501 Mind That Matters LLC Community/Behavioral Health 2871 Glass Vine Ct, Las Vegas, NV 89117-3402 2020-03-23
1710513387 Communidad Hispana Counseling Services, LLC Community/Behavioral Health 3670 N Rancho Dr Ste 101, Las Vegas, NV 89130-3192 2020-03-16
1437785961 Kristopher Wilks Community/Behavioral Health 4801 E Tropicana Ave Apt 1, Las Vegas, NV 89121-6733 2020-03-16
1558995472 Deborah Moye Community/Behavioral Health 6501 W Charleston Blvd Apt 43, Las Vegas, NV 89146-1076 2020-02-29
1346872967 Angelina L Onwuka-smarty Community/Behavioral Health 1700 Alta Dr, Las Vegas, NV 89106-4148 2020-02-11
1437789823 Change Is Real Behavioral Health Services Community/Behavioral Health 304 S Jones Blvd Ste 2759, Las Vegas, NV 89107-2623 2020-01-24
1437789336 Resilient Truths Human Services Community/Behavioral Health 1515 E Tropicana Ave Ste 240, Las Vegas, NV 89119-6519 2020-01-20
1215577499 Michelle Angela Dukes Community/Behavioral Health 9908 Masterpiece Dr, Las Vegas, NV 89148-4538 2020-01-15
Find all providers in LAS VEGAS

Office Location

Street Address 6390 W CHEYENNE AVE STE F
City LAS VEGAS
State NV
Zip Code 89108-6008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185983 Yazmin Pelayo Technician 1513 Fay Boulevard, Las Vegas, NV 89108 2019-10-15
1619523974 Maria De Carmen Reynoso Ponce Technician 6431 Big Pine Way, Las Vegas, NV 89108 2019-08-13
1669028122 Maricela Arteaga Technician 1425 Lilac Breeze Cr, Las Vegas, NV 89108 2019-08-12
1255808853 Alexis Nicole Haynes Health Educator 2589 North Rancho Drive, Las Vegas, NV 89108 2018-11-01
1720554827 Total Recovery Bhs Community/Behavioral Health 2436 Valparaiso St, Las Vegas, NV 89108 2018-10-17
1083104574 Melissa Jacqueline Marie Howard Rehabilitation Counselor 4428 West Lake Mead Blvd, Las Vegas, NV 89108 2018-05-10
1104315647 Pinnacle Medical Center Family Medicine 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 2018-05-09
1255845103 Zaneqwah Shaw Community/Behavioral Health 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 2017-11-29
1740706720 Carlton Newman Jr. Behavior Technician 5609 Deodar Dr, Las Vegas, NV 89108 2017-08-21
1558883496 Agape Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 6500 Vegas Dr, Apt 115, Las Vegas, NV 89108 2017-07-12
Find all providers in zip 89108

Competitor

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City LAS VEGAS
Zip Code 89108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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