SARA ANNE PILI JACKSON (NPI# 1023632080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023632080 |
| Entity Type | Individual |
| Full Name | SARA ANNE PILI JACKSON |
| Other Name | SARA ANNE PILI |
| Credential | PH.D, MA, LPCC |
| Practice Address |
1274 Center Court Dr Ste 112 Covina CA 91724-3668 |
| Mailing Address |
Po Box 2238 La Habra CA 90632-2238 |
| Practice Telephone | 6263318177 |
| Mailing Telephone | 7147479233 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCC3876 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713926 | Sara Jackson | Behavior Technician | 15 Seagroves St, Wilton, NH 03086 | 2020-02-26 |
| 1194342436 | Sara Jackson | Social Worker | 2029 Buchanan St, Kansas City, MO 64116 | 2020-07-02 |
| 1689223646 | Sara L Jackson | Registered Nurse | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2019-09-11 |
| 1710546106 | Sara Jackson | Dentist | 8217 Wicker Ave, Saint John, IN 46373-8878 | 2019-06-10 |
| 1629560495 | Sara Elizabeth Jackson | Behavior Technician | 231 Se Barrington Dr Ste 203, Oak Harbor, WA 98277-3200 | 2018-06-06 |
| 1548758972 | Sara Michelle Jackson | Behavior Technician | 6210 75th St W Ste B100, Lakewood, WA 98499-8109 | 2018-05-01 |
| 1992205108 | Sara Izora Jackson | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-02-14 |
| 1295123602 | Sara Jackson | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2015-01-07 |
| 1013312487 | Sara Ann Jackson | Registered Nurse | 1969 W Hart Rd, Beloit Health System Inc, Beloit, WI 53511-2230 | 2014-10-28 |
| 1114366945 | Sara W. Jackson | Occupational Therapist | 1201 Broad Rock Blvd, Pm&r/117, Richmond, VA 23249-0001 | 2013-06-14 |
| Street Address |
1274 CENTER COURT DR STE 112 |
| City | COVINA |
| State | CA |
| Zip Code | 91724-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936674 | Together Family Counseling | Marriage & Family Therapist | 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567999 | Sandra Hernandez-chavez | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-09-12 |
| 1710342514 | Erika Maria Hernandez | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
| 1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.