Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON CRYSES NIGHTSHADE
Deactivated Sole ProprietorJACKSON 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Deactivated NPIs are no longer valid for billing or credentialing.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 800LAS VEGAS, NV, 891024397Browse 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.