MELANIE J JACKSON (NPI# 1013228600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013228600 |
| Entity Type | Individual |
| Full Name | MELANIE J JACKSON |
| Credential | MS, LMHC, NCC |
| Practice Address |
5840 Red Bug Lake Rd #1548 Winter Springs FL 32708-5011 |
| Practice Telephone | 4233426422 |
| Practice Fax Number | 4076958803 |
| Mailing Telephone | 4233426422 |
| Mailing Fax Number | 4076958803 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | NCC 33945 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH 3045 | FL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
18548 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1619953726 | Melanie Hope Jackson | Psychologist | 2864 Dauphin St, Suite A, Mobile, AL 36606-2479 | 2005-12-20 |
| 1215472444 | Melanie Jackson | Registered Nurse | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2016-12-25 |
| 1528421617 | Melanie Kay Jackson | Social Worker | 1436 S Shelby St, Louisville, KY 40217-1107 | 2016-04-05 |
| 1750769659 | Melanie Jackson | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2015-05-11 |
| 1659711463 | Melanie A Jackson | Internal Medicine | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2013-06-26 |
| 1174711550 | Melanie L Jackson | Occupational Therapist | 300 Ne Missouri Rd, Lees Summit, MO 64086-4714 | 2007-10-10 |
| 1134313364 | Melanie Jackson | Physician Assistant | 10201 66th Rd, Ob/gyn Dept 3rd Floor, Forest Hills, NY 11375-2029 | 2007-08-30 |
| 1205046661 | Melanie Jackson | Nurse Practitioner | 372 Post Ave, Westbury, NY 11590-2201 | 2007-05-23 |
| 1841406030 | Melanie Wilma Jackson | Dentist | 280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438 | 2007-05-15 |
| Street Address |
5840 RED BUG LAKE RD #1548 |
| City | WINTER SPRINGS |
| State | FL |
| Zip Code | 32708-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928853 | Veronica-jo Prisco | Social Worker | 580 Old Sanford Road, Winter Springs, FL 32708 | 2019-05-22 |
| 1083101398 | Kd Medical Choice Inc | Clinical Medical Laboratory | 253 Winding Hollow Blvd, Winter Springs, FL 32708 | 2018-04-23 |
| 1861921223 | Karen Bova | Nurse Practitioner | 427 S. Buckskin Way, Winter Springs, FL 32708 | 2017-06-08 |
| 1922530997 | Mayur Vibhakar | Pharmacist | 5840 Red Bug Lake Rd # 1532, Winter Springs, FL 32708 | 2017-03-29 |
| 1053855379 | Liadys Diaz | Social Worker | 4 Sycamore Ct Apt 102, Winter Springs, FL 32708 | 2016-12-05 |
| 1225499817 | Tucawilla Villa, LLC | Custodial Care Facility | 995 Tuscawilla Road, Winter Springs, FL 32708 | 2016-03-10 |
| 1508222100 | Elizabeth Wright | Occupational Therapist | 985 Troon Trce, Winter Springs, FL 32708 | 2016-01-12 |
| 1790168771 | K Rose Ivey | Counselor | 252 Saxony Ct, Winter Springs, FL 32708 | 2015-07-08 |
| 1568863165 | Charles Afton Wise | Counselor | 1491 East Sr 434, Suite 104, Winter Springs, FL 32708 | 2014-09-15 |
| 1174958342 | Jorge Deju | Preventive Medicine | 617 Nighthawk Circle, Winter Springs, FL 32708 | 2013-09-06 |
| Find all providers in zip 32708 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739038 | Lori Carol Helms | Counselor | 311 Us Highway 27 S, Sebring, FL 33870-2106 | 2020-10-29 |
| 1326646407 | Cheryl A Scott | Counselor | 3778 Suffolk Dr, Tallahassee, FL 32309-3005 | 2020-10-12 |
| 1134727274 | Inner Peace Counseling & Wellness | Counselor | 334 E Lake Rd Dept 280, Palm Harbor, FL 34685-2427 | 2020-10-12 |
| 1003413923 | Kristen Thompson | Counselor | 519 Briarwood Dr, Pensacola, FL 32506-6220 | 2020-10-04 |
| 1073120432 | Grow Mental Health Services, LLC | Counselor | 3585 Cedar Park Ln, Panama City, FL 32404-3824 | 2020-09-29 |
| 1528675162 | Ct Counseling, LLC | Counselor | 23051 Nw County Road 200a, Lawtey, FL 32058-4215 | 2020-09-28 |
| 1275140170 | Jerrai Rochelle Young | Counselor | 5111 Galloway Rd, Graceville, FL 32440-4309 | 2020-09-25 |
| 1770198129 | Jeanine Smith | Counselor | 7433 Se Marsh Fern Ln, Hobe Sound, FL 33455-7844 | 2020-09-12 |
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1164036059 | Dorelys Raquel Rivera | Counselor | 479 Basking Ridge Ct, Ocoee, FL 34761-1721 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | WINTER SPRINGS |
| Zip Code | 32708 |
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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.