Jackalope Holistic Healing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JACKALOPE HOLISTIC HEALING LLC

Practice address

1005 Forest St
Reno, NV 89509-2706

Phone

(775) 453-0743

Fax

(775) 329-9943

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Eleni Sexton, LCSWNPI 1831593409

Title

Business Owner

Phone

(775) 453-0743

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Eleni Sexton, LCSW

  • Social Worker
  • Reno, NV
  • NPI 1831593409
  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1972362523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 FOREST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092706",
            "telephone_number": "775-453-0743",
            "fax_number": "775-329-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 FOREST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092706",
            "telephone_number": "775-453-0743",
            "fax_number": "775-329-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKALOPE HOLISTIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "ELENI",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "775-453-0743",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831593409",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Lloyd Jachimowicz
• Edward Joseph Jack
• Hunter Jack
• Mykayla E. Jack
• Randall Ellis Jack, M.D.
• Jackie Burgess Midwifery
• Amy Ruth Jackson, CADC
• Angela Jackson, M.S. SLP-CCC
• Barbara Anne Jackson
• Donald A Jackson, PH.D.

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.