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MS. JEANINE MICHELLE WIMBERLY MFT
NPI 1760639900
Marriage & Family Therapist in Las Vegas, NV

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
1901 S JONES BLVD, LAS VEGAS, NV 89146(702) 486-0000(702) 486-7759 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jeanine Michelle Wimberly Mft NPPES

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

MS. JEANINE MICHELLE WIMBERLY MFT (NPI 1760639900) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in Nevada (0860) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1760639900
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JEANINE MICHELLE WIMBERLYCredential: MFT
Location Address1901 S JONES BLVDLas Vegas, NV 89146-1260
Mailing Address1901 S Jones BlvdLas Vegas, NV 89146-1260 · (702) 486-0000 · Fax (702) 486-7759
Phone(702) 486-0000
Fax(702) 486-7759
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 19, 2008
Last NPPES UpdateAugust 31, 2025
NPPES CertifiedAugust 31, 2025
✔ NPI 1760639900 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
License✔ Licensed in NV · 0860
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 1023 (NV)
1901 S JONES BLVD, Las Vegas, NV 89146
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Secondary Practice Location 1

Location 12810 W Charleston Blvd # 73-74Las Vegas, NV 89102-1921 · Phone (725) 291-2700 · Fax (725) 291-2701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jeanine Michelle Wimberly Mft 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 ID7315489895
PECOS Enrollment IDI20240612001383
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.

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.

CHENOA HALL
Psychologist (Rehabilitation)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
YVONNE JACKSON
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
LA JUANA BROOKS
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
MELINDA S BRADLEY MFT-INTELADC-INTERN
Marriage & Family Therapist
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
SERENITY
Clinical Medical Laboratory
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
GOERGETTA FRAZIER
Behavior Analyst
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
HOLLY QUICK
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
TATEVIK ALFEROVA
Registered Nurse
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550

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 Jeanine Wimberly's NPI number?

The NPI number for Jeanine Wimberly is 1760639900. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Jeanine Wimberly located?

Jeanine Wimberly practices at 1901 S Jones Blvd, Las Vegas, NV 89146. The listed phone number is (702) 486-0000.

What is Jeanine Wimberly's specialty?

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

Is Jeanine Wimberly enrolled in Medicare?

Yes. Jeanine Wimberly 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.

When was this NPI record last updated?

The NPPES record for Jeanine Wimberly was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.