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JACLYN D'AMBROSIO
NPI 1073753083
Marriage & Family Therapist in Las Vegas, NV

Active since March 03, 2009PECOS Enrolled
9488 W FLAMINGO RD STE 102, LAS VEGAS, NV 89147(702) 665-5593 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Jaclyn D'ambrosio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN D'AMBROSIO (NPI 1073753083) is an individual marriage & family therapist in Las Vegas, Nevada and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in N Las Vegas.

NPPES Registry Identity

NPI1073753083
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACLYN D'AMBROSIO
Location Address9488 W FLAMINGO RD STE 102Las Vegas, NV 89147-5717
Mailing Address9488 W Flamingo Rd Ste 102Las Vegas, NV 89147-5717
Phone(702) 665-5593
Sole ProprietorYes
Enumeration DateMarch 3, 2009
Last NPPES UpdateSeptember 10, 20182 updates tracked since enumeration
✔ NPI 1073753083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
9488 W FLAMINGO RD STE 102, Las Vegas, NV 89147
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Secondary Practice Location 1

Location 14344 W Cheyenne AveN Las Vegas, NV 89032-2484 · Phone (702) 843-6500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn D'ambrosio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn D'ambrosio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Live Happy Counseling, LLC
3.5 mi
Counselor
6730 S FORT APACHE RD
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
NPI 1205345048 (702) 581-9667

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LETICIA ACUNA
Marriage & Family Therapist
9488 W FLAMINGO RD STE 102
LAS VEGAS, NV 89147
Clark County (702) 665-5593
KALEIGH DENISE MANCHA LMFT
Marriage & Family Therapist
9488 W FLAMINGO RD STE 102
LAS VEGAS, NV 89147
Clark County (702) 886-0479
NICHOLAS ANGELONE
Marriage & Family Therapist
9488 W FLAMINGO RD STE 102
LAS VEGAS, NV 89147
Clark County (727) 348-2719
ANDREA DALZIELL
Marriage & Family Therapist
9488 W FLAMINGO RD STE 102
LAS VEGAS, NV 89147
Clark County (702) 665-5593

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn D'ambrosio's NPI number?

The NPI number for Jaclyn D'ambrosio is 1073753083. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Where is Jaclyn D'ambrosio located?

Jaclyn D'ambrosio practices at 9488 W Flamingo Rd Ste 102, Las Vegas, NV 89147. The listed phone number is (702) 665-5593.

What is Jaclyn D'ambrosio's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jaclyn D'ambrosio enrolled in Medicare?

Yes. Jaclyn D'ambrosio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn D'ambrosio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn D'ambrosio reassigns Medicare benefits to Live Happy Counseling, LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn D'ambrosio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn D'ambrosio was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.