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JUSTIN LEE JACKSON
NPI 1356690101
Counselor in Henderson, NV

Active since September 06, 2012
375 CONESTOGA WAY UNIT 4213, HENDERSON, NV 89002(702) 927-9898 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Lee Jackson NPPES

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

JUSTIN LEE JACKSON (NPI 1356690101) is an individual counselor in Henderson, Nevada and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1356690101
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJUSTIN LEE JACKSON
Location Address375 CONESTOGA WAY UNIT 4213Henderson, NV 89002-1108
Mailing Address375 Conestoga Way Unit 4213Henderson, NV 89002-1108 · (702) 927-9898
Phone(702) 927-9898
Sole ProprietorYes
Enumeration DateSeptember 6, 2012
✔ NPI 1356690101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
375 CONESTOGA WAY UNIT 4213, Henderson, NV 89002
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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 Justin Jackson's NPI number?

The NPI number for Justin Jackson is 1356690101. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Justin Jackson located?

Justin Jackson practices at 375 Conestoga Way Unit 4213, Henderson, NV 89002. The listed phone number is (702) 927-9898.

What is Justin Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Justin Jackson was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.