MICHELLE LARAY JACKSON CPC
NPI 1396253258
Counselor - Professional in North Las Vegas, NV

Q: What is Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1396253258. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Q: What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 12, 2018PECOS Enrolled

6202 FLAMING ARROW RD, NORTH LAS VEGAS, NV 89031(812) 306-7795 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Jan 12, 2018 (2 updates tracked since 2018).

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About Michelle Laray Jackson Cpc NPPES

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

MICHELLE LARAY JACKSON CPC (NPI 1396253258) is an individual professional provider in North Las Vegas, Nevada and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396253258

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMICHELLE LARAY JACKSONCredential: CPC

Location Address6202 FLAMING ARROW RDNorth Las Vegas, NV 89031-1646

Mailing Address6202 Flaming Arrow RdNorth Las Vegas, NV 89031-1646 · (812) 306-7795

Phone(812) 306-7795

Sole ProprietorYes

Enumeration DateJanuary 12, 2018

Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1396253258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

6202 FLAMING ARROW RD, North Las Vegas, NV 89031

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Laray Jackson Cpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1396253258. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Where is Michelle Jackson located?

Michelle Jackson practices at 6202 Flaming Arrow Rd, North Las Vegas, NV 89031. The listed phone number is (812) 306-7795.

What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michelle Jackson enrolled in Medicare?

Yes. Michelle Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.