DEMETRICE TANAE JEFFERSON
NPI 1558617068
Counselor - Mental Health in Las Vegas, NV

Active since August 02, 2012
3320 SUNRISE AVE STE 111, LAS VEGAS, NV 89101(702) 445-6594(702) 455-6970 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetrice Tanae Jefferson NPPES

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

DEMETRICE TANAE JEFFERSON (NPI 1558617068) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1558617068
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEMETRICE TANAE JEFFERSON
Location Address3320 SUNRISE AVE STE 111Las Vegas, NV 89101-4853
Mailing Address3320 Sunrise Ave Ste 111Las Vegas, NV 89101-4853 · (702) 445-6594 · Fax (702) 455-6970
Fax(702) 455-6970
Sole ProprietorYes
Enumeration DateAugust 2, 2012
NPI 1558617068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3320 SUNRISE AVE STE 111, Las Vegas, NV 89101

Other Providers at the Same Location NPPES 5

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

Community/Behavioral Health
3320 SUNRISE AVE STE 111
LAS VEGAS, NV 89101
Counselor (Mental Health)
3320 SUNRISE AVE STE 111
LAS VEGAS, NV 89101
Counselor (Mental Health)
3320 SUNRISE AVE STE 111
LAS VEGAS, NV 89101
Counselor (Mental Health)
3320 SUNRISE AVE STE 111
LAS VEGAS, NV 89101
Counselor (Mental Health)
3320 SUNRISE AVE STE 111
LAS VEGAS, NV 89101

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 Demetrice Jefferson's NPI number?

The NPI number for Demetrice Jefferson is 1558617068. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Demetrice Jefferson located?

Demetrice Jefferson practices at 3320 Sunrise Ave Ste 111, Las Vegas, NV 89101. The listed phone number is (702) 445-6594.

What is Demetrice Jefferson'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 Demetrice Jefferson was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.