Krystal Lonea Jackson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5005 Losee Rd Apt 1031
North Las Vegas, NV 89081-2490

Phone

(702) 624-6618

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1407279326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N DECATUR BLVD UNIT 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082269",
            "telephone_number": "331-222-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 LOSEE RD APT 1031",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812490",
            "telephone_number": "702-624-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KRYSTAL",
        "middle_name": "LONEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Jerome Jackson
• Elia Diana Jackson
• Ethel Jackson
• Jessie Jackson
• Keysha Jackson
• Lashonda Jackson
• Latisha Evette Jackson, BS
• Lira Jackson
• Marcus Jackson
• Mario Michael Jackson, D.D.S.

• Mental Health Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.