JUSTIN LEE JACKSON


Address: 375 Conestoga Way Unit 4213, Henderson, NV 89002-1108
Phone: 7029279898

JUSTIN LEE JACKSON (NPI# 1356690101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356690101
Entity Type Individual
Full Name JUSTIN LEE JACKSON
Practice Address 375 Conestoga Way Unit 4213
Henderson
NV 89002-1108
Practice Telephone 7029279898
Mailing Telephone 7029279898
Enumeration Date 2012-09-06
Last Update Date 2012-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers JUSTIN JACKSON

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1013470285 Justin Jackson Physical Therapy Assistant 22 Eugenia Ct, Cordova, SC 29039-9635 2019-04-12
1699309799 Justin Andrew Jackson Counselor 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 2020-02-27
1235788902 Justin Jackson Counselor 15 W Cary St, Richmond, VA 23220-5609 2019-09-05
1760999841 Justin Jackson Specialist 423 Great Oak Dr, Waite Park, MN 56387-2507 2018-01-10
1124476569 Justin Jackson Social Worker 8 Atwood Dr Ste 301, Northampton, MA 01060-4266 2016-05-26
1417216375 Justin M. Jackson Anesthesiology 1455 Montreal Rd, Tucker, GA 30084-8100 2012-05-14

Office Location

Street Address 375 CONESTOGA WAY UNIT 4213
City HENDERSON
State NV
Zip Code 89002-1108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982073532 Therafun Therapy Services Occupational Therapy Assistant 177 Cobalt Sky, Henderson, NV 89002 2015-09-24
1396981437 Nevada Senior Services Inc Clinic/Center 1201 Nevada State Drive, Henderson, NV 89002 2008-12-19
1700909975 Robert Pham Dds A Professional Corp. Dentist 55 E. Horizon Ridge Pkwy., Ste 100, Henderson, NV 89002 2007-04-10
1265504161 Joanne Anh Nguyen Dentist 70 E. Horizon Ridge Pkwy., Ste. 150, Henderson, NV 89002 2006-11-15
1285281063 Luis Enrique Orozco-hernandez Chore Provider 70 E. Horizon Ridge Pkwy., Suite 100, Henderson, NV 89002 2019-08-26
1740312891 James I Gibson Dds Ms PC Dentist 70 E Horizon Ridge Pkwy, 170, Henderson, NV 89002 2007-03-12
1710243993 Alvin Nuestro Rocillo Rehabilitation Practitioner 93 Lovage St, Henderson, NV 89002-0507 2012-04-02
1841402682 William Odonnell Physical Therapist 1081 Swinford Ct, Henderson, NV 89002-0510 2007-05-04
1558850842 Excellence Home Care Solutions In Home Supportive Care 1230 Rose Quartz Rd, Henderson, NV 89002-0521 2018-05-02
1750512703 Brady Nance Dentist 1114 Tuscan Sky Ln # 101, Henderson, NV 89002-0645 2009-08-06
Find all providers in zip 89002

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992314140 Kirsten Kilburn Counselor 46 Aldrin Cir, Henderson, NV 89015-6103 2020-07-23
1518575166 Madeleine Metcalf Counselor 2424 Rue Bienville Way, Henderson, NV 89044-0432 2020-07-20
1376165431 Lindsay R Clanagan Counselor 2824 Dunnottar Ave, Henderson, NV 89044 2020-05-12
1386271740 Fibonacci Services LLC Counselor 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 2020-03-25
1821637406 Robert William Allen Counselor 2831 Saint Rose Pkwy # 227, Henderson, NV 89052-4840 2019-12-31
1720649155 Clark County Counseling LLC Counselor 1546 W Warm Springs Rd Ste 120, Henderson, NV 89014-4326 2019-06-26
1093370405 Miguel Casiano Counselor 320 Conestoga Way Apt 6110, Henderson, NV 89002-9713 2019-05-01
1710499397 Tammy Michele Jetton Counselor 202 Fullerton Ave, Henderson, NV 89015-5223 2017-11-03
1538670096 Kristi Orgill Pace Counselor 111 S Gibson Rd Apt 622, Henderson, NV 89012-2670 2017-10-23
1699292904 Westcare Nevada Inc Counselor 2501 N Green Valley Pkwy Ste 117-119, Henderson, NV 89014-0273 2017-08-28
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 89002

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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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