MS. PENNY ANN JACKSON (NPI# 1437451184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437451184 |
| Entity Type | Individual |
| Full Name | MS. PENNY ANN JACKSON |
| Credential | M.A., LADC |
| Practice Address |
1240 W Owens Ave Ste 3 Las Vegas NV 89106-2452 |
| Practice Telephone | 7028779850 |
| Practice Fax Number | 7028779870 |
| Mailing Telephone | 7028779850 |
| Mailing Fax Number | 7028779870 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | NV | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194997270 | Penny Tronell Jackson | Chiropractor | 1161 Highway 135 S, Suite 1, Willacoochee, GA 31650-7747 | 2008-03-28 |
| 1770925505 | Penny Jackson | Pharmacist | 801 S Main St, Clinton, IN 47842-2261 | 2013-07-22 |
| Street Address |
1240 W OWENS AVE STE 3 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073844361 | Care Transitional Servicess | Health Maintenance Organization | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2010-01-26 |
| 1689223562 | Marie Danielle Sulit | Social Worker | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2019-09-04 |
| 1427521194 | Building Resilience | Clinic/Center | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2019-01-05 |
| 1982046678 | Regina Alice Barnes-hobbs | Counselor | 1240 W Owens Ave Ste 3, 1240 W. Owens Ste3, Las Vegas, NV 89106-2452 | 2013-07-23 |
| 1942557426 | Frankie June Holtz Davis | Counselor | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2012-08-14 |
| 1124373865 | Patricia Ann Saulter | Counselor | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2012-07-18 |
| 1831456839 | Victoria Meshell Gray | Counselor | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2012-04-13 |
| 1902162324 | Michael Lee Williams | Counselor | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2012-04-10 |
| 1558636811 | Mario Lorenzo Jones | Counselor | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2012-03-19 |
| 1215202924 | Counseling Services Plus, Inc | Health Maintenance Organization | 1240 W Owens Ave Ste 3, Las Vegas, NV 89106-2452 | 2012-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| Find all providers in LAS VEGAS | ||||
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| 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.