Debbie Ann Jackson, MFT-I

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M10274 Issued in NV

Practice address

6765 W Charleston Blvd
Ste. #110
Las Vegas, NV 89146-2003

Phone

(702) 884-0405

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1972842078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 SHAYLA BAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861431",
            "telephone_number": "702-884-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 W CHARLESTON BLVD",
            "address_2": "STE. #110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462003",
            "telephone_number": "702-884-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEBBIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MFT-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01486-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M10274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danaiyah Janae Jackson
• Darrell Jackson
• Dashun Jamar Jackson
• David Neal Jackson, MD
• Daytreiona Jackson
• Deborah Jackson
• Debra Jackson
• Demarcus Jackson
• Desmond Jackson
• Devonna 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 Feb 8, 2013; 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.