ELEVATE LIFE
NPI 1033436787
Counselor - Mental Health in North Las Vegas, NV

Active since April 20, 2010
2605 RAINBOW GLOW ST, NORTH LAS VEGAS, NV 89030(702) 630-5009 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elevate Life NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEVATE LIFE (NPI 1033436787) is a healthcare organization registered as a mental health in North Las Vegas, Nevada and active in the NPI registry since April 2010. The organization lists Willie Pearl Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033436787
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameELEVATE LIFE
Location Address2605 RAINBOW GLOW STNorth Las Vegas, NV 89030-3709
Mailing Address2605 Rainbow Glow StNorth Las Vegas, NV 89030-3709 · (702) 630-5009
Organization SubpartNo
Authorized OfficialWillie Pearl JacksonOwner · (702) 630-5009
Enumeration DateApril 20, 2010
NPI 1033436787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2605 RAINBOW GLOW ST, North Las Vegas, NV 89030

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
2605 RAINBOW GLOW ST
NORTH LAS VEGAS, NV 89030
Rehabilitation Practitioner
2605 RAINBOW GLOW ST
NORTH LAS VEGAS, NV 89030
Rehabilitation Practitioner
2605 RAINBOW GLOW ST
NORTH LAS VEGAS, NV 89030
Behavior Analyst
2605 RAINBOW GLOW ST
NORTH LAS VEGAS, NV 89030
Rehabilitation Practitioner
2605 RAINBOW GLOW ST
N LAS VEGAS, NV 89030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elevate Life's NPI number?

The NPI number for Elevate Life is 1033436787. It was assigned to this organization in the NPPES registry on April 20, 2010.

Where is Elevate Life located?

Elevate Life is located at 2605 Rainbow Glow St, North Las Vegas, NV 89030. The listed phone number is (702) 630-5009.

What is Elevate Life's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elevate Life was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.