MR. PHELTON GERRARD JACKSON N/A
NPI 1649538836
Counselor in North Las Vegas, NV

Q: What is Phelton Jackson's NPI number?

The NPI number for Phelton Jackson is 1649538836. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Q: What is Phelton Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Phelton Jackson was last updated on April 25, 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.

Active since April 25, 2012

4417 OASIS PLAINS AVE, NORTH LAS VEGAS, NV 89085(702) 688-1407(702) 688-1407 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Phelton Gerrard Jackson N/a NPPES

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

MR. PHELTON GERRARD JACKSON N/A (NPI 1649538836) is an individual counselor in North Las Vegas, Nevada and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1649538836

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. PHELTON GERRARD JACKSONCredential: N/A

Location Address4417 OASIS PLAINS AVENorth Las Vegas, NV 89085-2334

Mailing Address4417 Oasis Plains AveNorth Las Vegas, NV 89085-2334 · (702) 688-1470 · Fax (702) 688-1470

Phone(702) 688-1407

Fax(702) 688-1407

Sole ProprietorYes

Enumeration DateApril 25, 2012

✔ NPI 1649538836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4417 OASIS PLAINS AVE, North Las Vegas, NV 89085

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Other Providers at the Same Location NPPES 2

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

MRS. LATISHA EVETTE JACKSON BS

Counselor (Mental Health)

4417 OASIS PLAINS AVE
NORTH LAS VEGAS, NV 89085

Clark County (702) 688-1470

CAMILLE CRAWFORD CCC SERVICES

Community/Behavioral Health

4417 OASIS PLAINS AVE
NORTH LAS VEGAS, NV 89085

Clark County (702) 515-2060

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 Phelton Jackson's NPI number?

The NPI number for Phelton Jackson is 1649538836. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Phelton Jackson located?

Phelton Jackson practices at 4417 Oasis Plains Ave, North Las Vegas, NV 89085. The listed phone number is (702) 688-1407.

What is Phelton Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Phelton Jackson was last updated on April 25, 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.