SHELON JACKSON
NPI 1992107916
Counselor in Las Vegas, NV

Active since September 22, 2014
2815 W FORD AVE, #1175, LAS VEGAS, NV 89123(702) 418-6472 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor

About SHELON JACKSON

This page provides the complete NPI Profile along with additional information for Shelon Jackson, a provider established in Las Vegas, Nevada with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1992107916 assigned on September 2014. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1992107916 Verify this NPI
Provider Name
SHELON JACKSON
Gender
Female
Entity Type
Individual
Location Address
2815 W FORD AVE #1175 LAS VEGAS, NV 89123
Location Phone
(702) 418-6472
Mailing Address
2815 W FORD AVE #1175 LAS VEGAS, NV 89123
Mailing Phone
(702) 418-6472
Is Sole Proprietor?
Yes
Enumeration Date
09-22-2014
Last Update Date
02-24-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1372500000XNursing Service Related Providers

Chore Provider

 
2372600000XNursing Service Related Providers

Adult Companion

 
33747A0650XNursing Service Related Providers

Technician
Attendant Care Provider

 
4376J00000XNursing Service Related Providers

Homemaker

 

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Rehabilitation Practitioner
2815 W FORD AVE, #2125
LAS VEGAS, NV 89123
Rehabilitation Practitioner
2815 W FORD AVE, #2125
LAS VEGAS, NV 89123
Case Manager/Care Coordinator
2815 W FORD AVE
LAS VEGAS, NV 89123
Technician (Personal Care Attendant)
2815 W FORD AVE
LAS VEGAS, NV 89123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992107916, enumerated as an "individual" on September 22, 2014.

The provider is located at 2815 W FORD AVE #1175 LAS VEGAS, NV 89123 and the phone number is (702) 418-6472.

Counselor with taxonomy code 101Y00000X.