IndividualActive
Jason Jackson
NPI 1619381548 · Mental Illness Community Based Residential Treatment Facility · Reno, NV
Provider details
- NPI number
- 1619381548
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4200227759 (NV)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 4200227759 (NV)
Residential Treatment Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2470 Wrondel Way Ste 275
Reno, NV 89502-3701
Phone: (775) 354-3991
Fax: (775) 336-1082
Street-level locationGet directions
Mailing address
2470 Wrondel Way Ste 275
Reno, NV 89502-3701
Registry dates
- Enumerated
- 2014-06-18
- Last updated
- 2014-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.