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

Q: 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.

Q: What is Nichole Jackson's specialty?

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

Q: 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 3 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.

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: August 16, 2026.

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

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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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Medicare Participation & PECOS CMS

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

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.

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