TJ Mental Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

M18-05251-D-153900 Issued in NV

Legal business name

TJ MENTAL HEALTH SERVICES LLC

Practice address

1104 Allure Dr
Las Vegas, NV 89128-2095

Phone

(702) 561-2725

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Terri JacksonNPI 1699075853

Title

Owner/Ceo

Phone

(702) 561-2725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri Jackson

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1699075853
  NPD (past) Authorized official

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1457633505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ALLURE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ALLURE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282095",
            "telephone_number": "702-561-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "702-561-2725"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "M18-05251-D-153900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Ermadean Tiumalu
• Faith Ann Tiver-Foran
• Emaan Saadullah Tiwana
• Chetana Tiwary
• Venessa Tiznado
• Soeratmie Tjalim-Buscema
• Vicenta Tjandra
• TJL8 LLC
• TL Hsieh DDS PLLC
• Lorena Tlatelpa

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.