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JACQUELINE ESTRADA MA, MFT, LADC
NPI 1700170370
Marriage & Family Therapist in Las Vegas, NV

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
4221 MCLEOD DR, LAS VEGAS, NV 89121(702) 474-6450 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacqueline Estrada Ma, Mft, Ladc NPPES

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

JACQUELINE ESTRADA MA, MFT, LADC (NPI 1700170370) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in Nevada (01351) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1700170370
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE ESTRADACredential: MA, MFT, LADC
Location Address4221 MCLEOD DRLas Vegas, NV 89121-5215
Mailing Address4221 Mcleod DrLas Vegas, NV 89121-5215 · (702) 474-6450
Phone(702) 474-6450
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 1, 2011
Last NPPES UpdateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1700170370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in NV · 01351✔ Licensed in CA · MFC 44416
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00485-LC (NV)
4221 MCLEOD DR, Las Vegas, NV 89121
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Other Names 1

Former Name (1)Jacqueline Keenan

Secondary Practice Location 1

Location 11640 Alta Dr Ste 4Las Vegas, NV 89106-4165 · Phone (702) 474-6450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Estrada Ma, Mft, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456879469
PECOS Enrollment IDI20250514000522
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 Jacqueline Estrada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bridge Counseling Associates, Inc
Same address
Community/Behavioral Health
4221 MCLEOD DR
Las Vegas, NV 89121
  • Reassigned Medicare billing, Nevada enrollment
  • 26 clinicians in this Medicare group
NPI 1447714076 (702) 800-8275

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 20

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

IRVIN SHUHEI GRANSTROM MFT-I, CADC-I
Marriage & Family Therapist
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
SOLANGE-LOUISE PANELL LMSW, CADC
Social Worker
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MR. DANIEL PAUL FICALORA MA
Counselor (Professional)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MS. MARY SARA FRIDMAN MSW, LCSW
Social Worker (Clinical)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
DEVAN RYAN LANE
Case Manager/Care Coordinator
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
CIERA PRIMAS CPC-I, CADC-I
Counselor (Addiction (Substance Use Disorder))
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MARIA ADELA KRAUSE
Counselor (Professional)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MARY CARTER CPC, CADC-I
Counselor (Professional)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450

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 Jacqueline Estrada's NPI number?

The NPI number for Jacqueline Estrada is 1700170370. It was assigned to this individual provider in the NPPES registry on June 1, 2011. The provider is also known as Jacqueline Keenan.

Where is Jacqueline Estrada located?

Jacqueline Estrada practices at 4221 Mcleod Dr, Las Vegas, NV 89121. The listed phone number is (702) 474-6450.

What is Jacqueline Estrada's specialty?

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

Is Jacqueline Estrada enrolled in Medicare?

Yes. Jacqueline Estrada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacqueline Estrada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Estrada reassigns Medicare benefits to Bridge Counseling Associates, Inc (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 Jacqueline Estrada'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 Jacqueline Estrada was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.