JEFFREY JOHN CARSON (NPI# 1801130232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801130232 |
| Entity Type | Individual |
| Full Name | JEFFREY JOHN CARSON |
| Credential | MA, LADC |
| Practice Address |
1405 San Juan Hills Dr Unit 105 Las Vegas NV 89134-6390 |
| Mailing Address |
1405 San Juan Hills Dr Unit 105 Las Vegas NV 89134-6390 |
| Practice Telephone | 7703644402 |
| Mailing Telephone | 7703644402 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1269 | NV | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | CPCI | C10131 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992018162 | Jeffrey Scott Carson | Surgery | 8111 Dodge St Ste 263, Omaha, NE 68114-4118 | 2010-07-16 |
| 1871664235 | Jeffrey James Carson | Chiropractor | 3907 Central Ave, Ste. #6, Hot Springs, AR 71913-7210 | 2006-11-09 |
| 1174693873 | Jeffrey Carson | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5100a, New Brunswick, NJ 08901-1962 | 2006-11-09 |
| 1700963931 | Jeffrey A Carson | Dentist | 2175 Chambliss Ave Nw, Suite C, Cleveland, TN 37311-3842 | 2006-11-01 |
| 1073596961 | Jeffrey Carson | Physical Therapist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-11-23 |
| Street Address |
1405 SAN JUAN HILLS DR UNIT 105 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89134-6390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325366 | Mind Body and Soul LLC | Counselor | 1405 San Juan Hills Dr Unit 105, Las Vegas, NV 89134-6390 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345786 | J'aime Nicole Macpherson | Marriage & Family Therapist | 9148 W Lake Mead Blvd, Ste. 316, Las Vegas, NV 89134 | 2018-08-09 |
| 1487178471 | Rcg LLC | Nurse Practitioner | 10109 Snow Crest Pl, Las Vegas, NV 89134 | 2017-08-01 |
| 1346770120 | Rizalyne May Abdelnour | Dentist | 9501 Hillwood Dr., Las Vegas, NV 89134 | 2017-06-14 |
| 1215465380 | Erin Mattera | Marriage & Family Therapist | 9418 West Lake Mead Blvd, Las Vegas, NV 89134 | 2017-06-01 |
| 1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
| 1952647794 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 8568 Del Webb Blvd., Las Vegas, NV 89134 | 2012-12-26 |
| 1518247311 | Proteus Therapeutic Solutions Inc | Counselor | 1813 Sierra Oaks Ln, Las Vegas, NV 89134 | 2011-08-24 |
| 1629357702 | Jessica Robbins | Marriage & Family Therapist | 9402 W. Lake Mead Blvd, Kayenta Therapy Center, Las Vegas, NV 89134 | 2011-08-08 |
| 1447575659 | Sara Pelton | Marriage & Family Therapist | 9418 W. Lake Mead Blvd., Las Vegas, NV 89134 | 2010-03-30 |
| 1205167517 | James Joshua Greathouse | Physical Therapist | 1845 Village Center Cir, Las Vegas, NV 89134 | 2010-01-26 |
| Find all providers in zip 89134 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200723 | Bauza Neuropsychiatry Center LLC | Counselor | 4268 Roanridge Ave, Las Vegas, NV 89120-2113 | 2020-09-16 |
| 1306451711 | Crest Healthcare Inc. | Counselor | 3275 S Jones Blvd Ste 106, Las Vegas, NV 89146-6768 | 2020-09-11 |
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1225666597 | Gwendolyn Mallory | Counselor | 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | 2020-03-31 |
| 1134754120 | Shelley Denise Sargent | Counselor | 10593 Harvest Green Way, Las Vegas, NV 89135-1245 | 2020-03-10 |
| 1720610637 | Dsa Technoligies LLC | Counselor | 9504 City Hill Ct, Las Vegas, NV 89134-1711 | 2020-02-08 |
| 1811532781 | Melanie Fedraw | Counselor | 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 | 2019-11-14 |
| 1457906729 | Elizabeth Ann Morris | Counselor | 7408 Mountain Thicket St, Las Vegas, NV 89131-4542 | 2019-08-05 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 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.