GLORIA JACKSON
NPI 1619371507
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV

Q: What is Gloria Jackson's NPI number?

The NPI number for Gloria Jackson is 1619371507. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Q: What is Gloria Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Jackson was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 21, 2014

800 N. RAINBOW BLVD SUITE 215, LAS VEGAS, NV 89107(702) 968-0231 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gloria Jackson NPPES

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

GLORIA JACKSON (NPI 1619371507) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Nevada (101YA0400X) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1619371507

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameGLORIA JACKSON

Location Address800 N. RAINBOW BLVD SUITE 215Las Vegas, NV 89107

Mailing Address800.n.raibow Blvd Suite 215Las Vegas, NV 89107-1103 · (702) 968-0231

Phone(702) 968-0231

Sole ProprietorYes

Enumeration DateOctober 21, 2014

✔ NPI 1619371507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NV · 101YA0400X

Also ListedBehavior AnalystTaxonomy 103K00000X · License 103K000000X (NV)

800 N. RAINBOW BLVD SUITE 215, Las Vegas, NV 89107

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Other Identifiers 1

Medicaid22540000XNV

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 Gloria Jackson's NPI number?

The NPI number for Gloria Jackson is 1619371507. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Gloria Jackson located?

Gloria Jackson practices at 800 N. Rainbow Blvd Suite 215, Las Vegas, NV 89107. The listed phone number is (702) 968-0231.

What is Gloria Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gloria Jackson was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.