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Jackson Nightshade
NPI 1255689261 · Mental Health Counselor · Las Vegas, NV
Jackson Nightshade is a Mental Health Counselor provider in Las Vegas, NV (NPI 1255689261).
Provider details
- NPI number
- 1255689261
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MI3202 (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone: (702) 545-5854
Street-level locationGet directions
Mailing address
1027 S Rainbow Blvd Pmb 186
Las Vegas, NV 89145-6232
Registry dates
- Enumerated
- 2012-08-22
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Frequently asked questions
- What is Jackson Nightshade's NPI number?
- Jackson Nightshade's National Provider Identifier (NPI) is 1255689261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Nightshade's specialty?
- Jackson Nightshade is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jackson Nightshade located?
- Jackson Nightshade's practice location on file with NPPES is 2300 W Sahara Ave Ste 800, Las Vegas, NV 89102-4397.
- What is Jackson Nightshade's phone number?
- The practice phone number listed in the NPPES registry for Jackson Nightshade is (702) 545-5854.
- Is Jackson Nightshade's NPI active?
- Yes — Jackson Nightshade's NPI (1255689261) is active in the NPPES registry as of the last update on 2023-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.