Active NPI
Iris Jackson
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1497225601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7790 Canyon Diablo Rd
Las Vegas, NV 89179-2068 - Phone
- (702) 400-6064
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7790 Canyon Diablo Rd
Las Vegas, NV 89179-2068
Mailing address
2228 Revere St
N Las Vegas, NV 89030-4011
Phone (702) 521-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Here Too Help Community Services LLC | Behavior Analyst | Past | Accepting new patients |
| Here to Help 2 LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- N Las Vegas, NV
- NPI 1043981467
-
- Community/Behavioral Health Agency
- North Las Vegas, NV
- NPI 1366927063
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1497225601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 REVERE ST",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890304011",
"telephone_number": "702-521-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7790 CANYON DIABLO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891792068",
"telephone_number": "702-400-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "IRIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.