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Jeffrey John Carson, MA, LADC

Counselor, Addiction (Substance Use Disorder) in Las Vegas, NV. Individual provider (NPI-1).

NPI number1801130232
StatusActive
Last updated in NPPESApr 8, 2019

Details

NPI
1801130232
Entity type
Individual (NPI-1)
Name
Jeffrey John Carson
Credential
MA, LADC
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 26, 2012
Last updated
Apr 8, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)1269NVYes
101Y00000X Counselor––
101YM0800X Counselor, Mental Health––

Practice location

1405 San Juan Hills Dr Unit 105
Las Vegas, NV 89134-6390

Phone 770-364-4402

Mailing address

1405 San Juan Hills Dr
Unit 105
Las Vegas, NV 89134-6390

Phone 770-364-4402

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Las Vegas, NV

All 423 Addiction (Substance Use Disorder) Counselor providers in Las Vegas · All 80,918 providers in Las Vegas

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