KENNETH LEE JACKSON JR. (NPI# 1003328550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003328550 |
| Entity Type | Individual |
| Full Name | KENNETH LEE JACKSON JR. |
| Credential | LSW; LCDC III |
| Practice Address |
1430 S High St Fl 4 Columbus OH 43207-1045 |
| Practice Telephone | 6144458131 |
| Practice Fax Number | 6146436820 |
| Mailing Telephone | 6144458131 |
| Mailing Fax Number | 6146436820 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
S.1700069 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083810 | Kenneth Jason Jackson | Student in an Organized Health Care Education/Training Program | 320 23rd St S Apt 1418, Arlington, VA 22202-3773 | 2019-03-20 |
| 1639469026 | Kenneth T Jackson | Counselor | 25506 Virginia Dr, Warren, MI 48091-6002 | 2011-04-19 |
| 1396968863 | Kenneth J Jackson | Dentist | 809 Redskin Trail, Wapakoneta, OH 45895 | 2007-04-11 |
| 1972510352 | Kenneth Wayne Jackson | Nurse Practitioner | 1811 Memorial Dr, Clarksville, TN 37043-4604 | 2006-08-01 |
| 1487606943 | Kenneth Wade Jackson Jr. | Obstetrics & Gynecology | 22 Manningfield Dr, Fletcher, NC 28732-9457 | 2006-05-16 |
| 1275514994 | Kenneth Conrad Jackson II | Pharmacist | 546 Chipeta Way, Suite 220, Salt Lake City, UT 84108-1236 | 2005-11-09 |
| 1407409063 | Kenneth Jackson | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-07-22 |
| 1457857690 | Kenneth D Jackson | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2018-04-05 |
| 1528573714 | Kenneth Jackson | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-10 |
| 1942674411 | Kenneth David Jackson Jr. | Case Manager/Care Coordinator | 3901 Ulloa St, New Orleans, LA 70119-6942 | 2015-11-21 |
| Street Address |
1430 S HIGH ST FL 4 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43207-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851815559 | Bruce Thomas Jones | Social Worker | 1430 S High St Fl 4, Columbus, OH 43207-1045 | 2017-08-03 |
| 1598278079 | Katherine M Mcglaughlin | Counselor | 1430 S High St Fl 4, Columbus, OH 43207-1045 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1093245763 | Royce Scott | Home Health | 254 E. Barthman Ave, Columbus, OH 43207 | 2017-06-15 |
| 1497207930 | Vernon C Murphy Jr. | Counselor | 1430 S High St Suite 112, Columbus, OH 43207 | 2016-11-01 |
| 1669825931 | Ayamba Roselyn Tanyi | Social Worker | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-07-21 |
| 1629421268 | Tiffany Dawn Hinkle | Counselor | 1430 S. High St, Suite 112, Columbus, OH 43207 | 2016-07-19 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1053712976 | A Plus Children's Academy Community School | Local Education Agency (LEA) | 110 Obetz Rd., Columbus, OH 43207 | 2014-09-10 |
| 1407274301 | William Hamilton Marshall V | Student in an Organized Health Care Education/Training Program | 1405 South High St, South High Primary Care Center, Columbus, OH 43207 | 2014-03-29 |
| 1912249665 | Laura Romcevich | Internal Medicine | 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2013-03-20 |
| Find all providers in zip 43207 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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|---|---|---|---|---|
| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1497373575 | Mettle Services LLC | Counselor | 5120 Godown Rd, Columbus, OH 43220-7202 | 2020-07-06 |
| 1861017014 | Christine Sutton | Counselor | 2502 Middle View Dr, Columbus, IN 47201-1459 | 2020-06-13 |
| 1609499896 | Adrian D Wilson | Counselor | 3575 Macon Rd Ste 2, Columbus, GA 31907-8247 | 2020-05-21 |
| 1750902250 | Redefined LLC | Counselor | 2242 S Hamilton Rd Ste 208, Columbus, OH 43232-4300 | 2020-05-06 |
| 1164057113 | Starks Counseling and Consultation Services LLC | Counselor | 175 S. Third Street, Suite 200, Columbus, OH 43215-5194 | 2020-03-10 |
| 1457984171 | Kathleen Bell | Counselor | 4425 Bentwood Dr, Columbus, GA 31907-1832 | 2020-02-20 |
| 1306479860 | As You Are Housing for Teens | Counselor | 5875 Chantry Dr, Columbus, OH 43232-4764 | 2020-02-12 |
| 1417589185 | Bailey Ehlers | Counselor | 1441 Bethel Rd, Columbus, OH 43220-2001 | 2020-02-10 |
| 1720619372 | Aaron Saez | Counselor | 230 Fenway Rd, Columbus, OH 43214-1410 | 2020-02-03 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.