MICHELLE LARAY JACKSON (NPI# 1396253258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396253258 |
| Entity Type | Individual |
| Full Name | MICHELLE LARAY JACKSON |
| Credential | CPCI |
| Practice Address |
3765 Carisbrook Dr North Las Vegas NV 89081-6631 |
| Practice Telephone | 8123067795 |
| Mailing Telephone | 8123067795 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434067 | Michelle Jackson | Behavior Technician | 6961 Rooks Ct Apt 305, Frederick, MD 21703-2781 | 2020-07-16 |
| 1790347722 | Michelle Lynn Jackson | Family Medicine | 456 Circle Dr, Kewanee, IL 61443-3622 | 2019-06-29 |
| 1396301487 | Michelle Jackson | Technician | 14000 Castle Blvd Apt 703, Silver Spring, MD 20904-4640 | 2019-05-14 |
| 1184196685 | Michelle Maria Jackson | Health Educator | 220 E 89th St, Brooklyn, NY 11236-1418 | 2018-12-20 |
| 1427509173 | Michelle Jackson | Behavioral Analyst | 115 Franklin St Ne Apt H21, Washington, DC 20002-1091 | 2016-10-18 |
| 1891193678 | Michelle Jackson | Occupational Therapy Assistant | 12611 Hickman Pl, Denver, CO 80239-6204 | 2014-12-10 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1699058008 | Michelle A Jackson | Occupational Therapist | 6045 Ashford Ln, Unit 102, Naples, FL 34110-2416 | 2011-09-21 |
| 1285923185 | Michelle Ann Jackson | Rehabilitation Practitioner | 7124 Diving Petrels Pl, 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 | 2011-03-31 |
| 1063650802 | Michelle Jackson | Occupational Therapy Assistant | 10200 Richmond Ave, Houston, TX 77042-4140 | 2009-02-02 |
| Street Address |
3765 CARISBROOK DR |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89081-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879719 | Saniya Dion Wilson | Technician | 4828 Celsion Rock Street, Las Vegas, NV 89081 | 2019-09-06 |
| 1932609526 | Victoria Lashelle Jones | Chore Provider | 3821 Pecos Park Ave, Las Vegas, NV 89081 | 2018-02-20 |
| 1912414483 | Ar Complete Homecare, Inc | Chore Provider | 1127 Emerald Stone Ave, N Las Vegas, NV 89081 | 2018-01-05 |
| 1558872986 | Noemi Cabrera | Nurse Practitioner | 6121 Broccoli St, N. Las Vegas, NV 89081 | 2017-10-12 |
| 1912426909 | Olive Branch Mentoring | Community/Behavioral Health | 5548 Ayers Cliff Street, North Las Vegas, NV 89081 | 2017-09-12 |
| 1336689447 | Andrew Rooks | Student in an Organized Health Care Education/Training Program | 5005 Losee Road, 2016, North Las Vegas, NV 89081 | 2017-03-08 |
| 1932649464 | Sheila Flipse | Counselor | 713 Mission Del Oro Avenue, North Las Vegas, NV 89081 | 2017-03-02 |
| 1376090894 | Rebuilding To Success | Community/Behavioral Health | 3212 Carolina Moon Ave, North Las Vegas, NV 89081 | 2016-09-01 |
| 1447602164 | Courage-cynthia Ugbodu | Counselor | 5424 Talmo St, North Las Vegas, NV 89081 | 2016-07-06 |
| 1710338686 | Dejuan Peterson | Social Worker | 2825 Aspen Club Ave, North Las Vegas, NV 89081 | 2016-06-22 |
| Find all providers in zip 89081 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261071 | Cassandra L Cotton | Counselor | 522 Seneca Ridge Ave, North Las Vegas, NV 89084-1314 | 2020-06-29 |
| 1366978140 | Ebony Sherman | Counselor | 245 E Centennial Pkwy Apt 2128, North Las Vegas, NV 89084-1373 | 2017-05-11 |
| 1851765416 | Brandy Mccullouch | Counselor | 2525 Donna St Apt A, North Las Vegas, NV 89030-5571 | 2015-11-19 |
| 1114320165 | Ida Davis | Counselor | 570 West Cheyenne Avenue, North Las Vegas, NV 89030 | 2014-10-06 |
| 1992120349 | Marikay Mack-finnie | Counselor | 4709 White Stork Dr, North Las Vegas, NV 89084-2642 | 2014-02-21 |
| 1356681241 | Woodrow Anthony Roeback IIi | Counselor | 3428 Ernest St, North Las Vegas, NV 89032-7724 | 2013-03-01 |
| 1033497151 | Latonya Reashawn Gaston | Counselor | 1001 Country Grove Ave, North Las Vegas, NV 89030-4707 | 2011-07-22 |
| 1205164290 | Guy Calderon Cooper | Counselor | 8228 Chimney Bluffs St, North Las Vegas, NV 89085-4412 | 2009-12-02 |
| 1124145594 | Renee Arbogast | Counselor | 4438 Coastal Bluff Ave, North Las Vegas, NV 89031-0453 | 2007-03-23 |
| 1922539154 | Curtis O'neal Green | Counselor | 2007 Rain Storm Ct, North Las Vegas, NV 89032-4857 | 2017-03-21 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89081 |
Please comment or provide details below to improve the information on MICHELLE LARAY JACKSON.
| 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.