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TAVEUS JACKSON
NPI 1124425467
Counselor - Mental Health in Las Vegas, NV

Active since December 02, 2014
4785 IDAHO AVE, LAS VEGAS, NV 89104(702) 857-4423 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Taveus Jackson NPPES

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

TAVEUS JACKSON (NPI 1124425467) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1124425467
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTAVEUS JACKSON
Location Address4785 IDAHO AVELas Vegas, NV 89104-5911
Mailing Address4785 Idaho AveLas Vegas, NV 89104-5911 · (702) 857-4423
Phone(702) 857-4423
Sole ProprietorNo
Enumeration DateDecember 2, 2014
✔ NPI 1124425467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4785 IDAHO AVE, Las Vegas, NV 89104
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Other Providers at the Same Location NPPES

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

VERONIQUE DAVIS
Counselor (Mental Health)
4785 IDAHO AVE
LAS VEGAS, NV 89104
Clark County (702) 272-2729

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 Taveus Jackson's NPI number?

The NPI number for Taveus Jackson is 1124425467. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Taveus Jackson located?

Taveus Jackson practices at 4785 Idaho Ave, Las Vegas, NV 89104. The listed phone number is (702) 857-4423.

What is Taveus Jackson'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 Taveus Jackson was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.