Basic Information
| Provider Information | |||||||||
| NPI: | 1063706471 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROOP | ||||||||
| FirstName: | JASMINE | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS, ,LCPC,NCC, LCADC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1640 E FLAMINGO RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891195280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024983377 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 315 RECORD ST STE 103 | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895123327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753488811 | ||||||||
| FaxNumber: | 7753488830 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2011 | ||||||||
| LastUpdateDate: | 06/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 00167-LC | NV | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | 216-S | NV | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 171M00000X | N | Other Service Providers | Case Manager/Care Coordinator | 101Y00000X | 269823 | NV | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.