MARGUERITE JACKSON


Address: 7556 Woodcrest Ave, Philadelphia, PA 19151-2704
Phone: 2154001551

MARGUERITE JACKSON (NPI# 1053733782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053733782
Entity Type Individual
Full Name MARGUERITE JACKSON
Credential M.ED, BCPC
Practice Address 7556 Woodcrest Ave
Philadelphia
PA 19151-2704
Practice Telephone 2154001551
Mailing Telephone 2154001551
Enumeration Date 2014-01-15
Last Update Date 2017-03-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA KEYSTONE FIRST 30053142 01
PA 29692MD048189L 05

Other Providers MARGUERITE JACKSON

NPI Name Taxonomy Address Enumeration
1275864498 Marguerite Elizabeth Jackson Licensed Practical Nurse 2685 Ridge Rd, Ontario, NY 14519-9560 2010-01-28
1831462019 Marguerite L Jackson Student in an Organized Health Care Education/Training Program 859 Willard St, Quincy, MA 02169-7482 2012-02-17

Office Location

Street Address 7556 WOODCREST AVE
City PHILADELPHIA
State PA
Zip Code 19151-2704

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346860145 Antonio Mayhew Home Health 1244 N 64th St, Philadelphia, PA 19151 2020-04-21
1477078913 Nikisha Davis Marriage & Family Therapist 7621 Brookhaven Road, Philadelphia, PA 19151 2017-08-05
1376066092 Kialenah Stewart Technician 451 N Edgewood Street, Philadelphia, PA 19151 2017-07-25
1922413186 My Community My Way Day Training, Developmentally Disabled Services 1715 North Felton Street, Philadelphia, PA 19151 2014-06-26
1245670033 Harcum Healthcare Group, LLC Home Health 7401 Woodbine Avenue, Philadelphia, PA 19151 2013-06-26
1639515687 Daniel A Rader Dentist 7300 City Ave Suite 210, Phila, PA 19151 2013-05-17
1053632547 Nalini Venkateswaran Pharmacist 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 2010-06-18
1740494533 Suburban Rehabilitation Associates, LLC Orthopaedic Surgery 7225 Haverford Avenue, Philadelphia, PA 19151 2007-05-10
1902027741 Ndeye Aissatou Lo Pharmacist 7564 Haverford Ave, Philadelphia, PA 19151 2007-05-01
1629295076 Gaudenzia Inc Clinic/Center 701 North 63rd Street, Philadelphia, PA 19151 2007-04-19
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992311575 Jennifer Victoria Hart Counselor 1644 W Champlost St, Philadelphia, PA 19141-1819 2020-09-19
1184233892 Jordyn Occhipinti Counselor 429 Daly St, Philadelphia, PA 19148-5702 2020-07-28
1346868783 Walter J Bullock Counselor 1831 Wakeling St, Philadelphia, PA 19124-2855 2020-07-13
1114544475 Atiya Walida Pope Counselor 1027 Wagner Ave, Philadelphia, PA 19141-2927 2020-07-01
1639795560 Caroline Maccherone Counselor 2207 E Norris St, Philadelphia, PA 19125-1905 2020-06-16
1093339988 Brianna Bliss Counselor 836 S Howard St, Philadelphia, PA 19147-3436 2020-06-05
1497376578 Frank Allen Edwards Jr. Counselor 2506 S Broad St, Philadelphia, PA 19145-4639 2020-04-30
1083234538 David Sparrow Sr. Counselor 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 2020-04-24
1316567654 Cheryl D Nelson Counselor 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 2020-04-16
1952938912 Marjola Como Counselor 108 Cliffwood Rd, Philadelphia, PA 19115-2715 2020-03-26
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Competitor

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City PHILADELPHIA
Zip Code 19151

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Dataset Information

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.

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