Nichole Jackson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4763 Issued in NV

Practice address

2723 E Russell Rd
Las Vegas, NV 89120-2426

Phone

(725) 205-0734

Fax

(702) 522-6080

NPI assigned

Jan 3, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258

  Marriage & Family Therapist

  Medicare reassignment NPD
• Next Level Psychiatry Arizona PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1932703626
  NPD

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1477890952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202426",
            "telephone_number": "725-205-0734",
            "fax_number": "702-522-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202426",
            "telephone_number": "725-205-0734",
            "fax_number": "702-522-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jackson
• Michael E Jackson, M.D.
• Mieishia Jackson
• Minette Jackson
• Myonna Jackson
• Nikita Jackson
• Ocean Chaliza Jackson
• Orvel Donald Jackson
• Ouli Jackson
• Palmer D Jackson

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.