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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON CRYSES NIGHTSHADE

Deactivated Sole Proprietor

JACKSON CRYSES NIGHTSHADE is a Mental Health Counselor healthcare provider located in LAS VEGAS, Nevada. NPI 1255689261 is deactivated in the NPPES registry. Verify at CMS.

Mental Health Counselor · LAS VEGAS, NV

This NPI has been deactivated. The record was deactivated on January 23, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1255689261
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2012 (10.421917808219 yrs)
Last Updated
Aug 4, 2023
Deactivated
Jan 23, 2023
License
MI3202 (NV)
Sole Proprietor
Yes

Practice Information

Address
2300 W SAHARA AVE STE 800
LAS VEGAS, NV, 891024397
Browse NV providers · Browse ZIP 89102
Phone
7025455854
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in LAS VEGAS, NV

Name Credential NPI
MR. PHILIP EDWARD GLESSNER MFT, LADC 1124044938
MS. CAROL HEMINGTON TURNER MFT 1083632798
MR. MICHAEL T MADAJSKI 1639193790
RONALD WALTER LAWRENCE MFT 1255355095
MS. RHONDA LYNN RUSSELL MS 1518971712
DR. DEBBIE BARBAROUSSIS-GOOT ND, LMFT, CWC 1548274889
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.