NPI 1053087221 · live from the CMS NPI Registry
Jennifer Adderly
Marriage & Family Therapist in Las Vegas, NV. National Provider Identifier 1053087221, active.
NPI record
| NPI | 1053087221 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4427 Coventry Cir, Las Vegas, NV 89121 |
| Practice phone | 323-445-5678 |
| Mailing address | 1728 Stearns Dr, Los Angeles, CA 90035 |
| Enumerated | August 18, 2021 |
| Last updated | September 16, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | LMFT88485 (CA) |
| Marriage & Family Therapist | 106H00000X | 5181-R (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.