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NICHOLE JACKSON
NPI 1477890952
Marriage & Family Therapist in Las Vegas, NV

Active since January 03, 2013PECOS Enrolled
2723 E RUSSELL RD, LAS VEGAS, NV 89120(725) 205-0734(702) 522-6080 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Sep 20, 2024, Nov 22, 2021 (3 updates tracked since 2021).

About Nichole Jackson NPPES

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

NICHOLE JACKSON (NPI 1477890952) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in Nevada (4763) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477890952
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICHOLE JACKSON
Location Address2723 E RUSSELL RDLas Vegas, NV 89120-2426
Mailing Address2723 E Russell RdLas Vegas, NV 89120-2426 · (725) 205-0734 · Fax (702) 522-6080
Phone(725) 205-0734
Fax(702) 522-6080
Sole ProprietorYes
Enumeration DateJanuary 3, 2013
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1477890952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NV · 4763
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2723 E RUSSELL RD, Las Vegas, NV 89120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Jackson 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.

Medicare Billing Reassignment

Medicare enrollment records show Nichole Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Solutions LLC
4.8 mi
Community/Behavioral Health
2200 PASEO VERDE PKWY STE 190
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 157 clinicians in this Medicare group
NPI 1548765258 (702) 589-4871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

CHRISTIAN COUNSELING CENTER, LLC
Counselor
2723 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (702) 248-4547
C.A. PERSONAL DEVELOPMENT MANAGEMENT INC.
Clinic/Center
2723 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (725) 204-0255
RANDY BLIZZARD M.DIV., LPC
Counselor (Professional)
2723 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (702) 248-4547
ASHLEY CARTER LCSW
Social Worker (Clinical)
2723 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (725) 222-1397
MRS. SARAH RIZER LCPC
Counselor (Pastoral)
2723 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (702) 248-4547
COURTNEY NICOL BEEMAN CPC-I
Counselor (Professional)
2723 E RUSSELL RD
LAS VEGAS, NV 89120
Clark County (725) 205-0734

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 Nichole Jackson's NPI number?

The NPI number for Nichole Jackson is 1477890952. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Where is Nichole Jackson located?

Nichole Jackson practices at 2723 E Russell Rd, Las Vegas, NV 89120. The listed phone number is (725) 205-0734.

What is Nichole Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Nichole Jackson enrolled in Medicare?

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

Which organization bills Medicare for Nichole Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Jackson reassigns Medicare benefits to Behavioral Health Solutions LLC (Henderson, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nichole Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Jackson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Nichole Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nichole Jackson was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.