MR. LANCE JACKSON (NPI# 1053741926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053741926 |
| Entity Type | Individual |
| Full Name | MR. LANCE JACKSON |
| Credential | LMHC |
| Practice Address |
7360 Coral Way Suite #23b Miami FL 33155-1498 |
| Mailing Address |
391 Ne 103rd St Miami Shores FL 33138-2432 |
| Practice Telephone | 3057639565 |
| Mailing Telephone | 3057639565 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11229 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205154036 | Lance Duane Jackson | Chiropractor | 4616 Broadway St Ste B, Pearland, TX 77581-3954 | 2010-05-04 |
| 1174554521 | Lance Elliot Jackson | Specialist | 18518 Hardy Oak, Suite 300, San Antonio, TX 78258-4271 | 2006-07-05 |
| 1346882123 | Lance Jackson | Behavior Technician | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2019-10-12 |
| 1548581416 | Lance Ronald Jackson Sr. | Rehabilitation Practitioner | 851 N Oakland Ave, Pasadena, CA 91104-4343 | 2010-06-15 |
| Street Address |
7360 CORAL WAY SUITE #23B |
| City | MIAMI |
| State | FL |
| Zip Code | 33155-1498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558416529 | Unicare Home Health Services, Inc. | Home Health | 7360 Coral Way, Suite 4, Miami, FL 33155-1498 | 2007-01-23 |
| 1366859639 | Social Consulting LLC | Counselor | 7360 Coral Way, Suite 23b, Miami, FL 33155-1498 | 2014-07-17 |
| 1982805685 | Millennium Radiology LLC | Clinic/Center | 7360 Coral Way, Suite 27a, Miami, FL 33155-1498 | 2007-05-30 |
| 1720294911 | Medical Center Group of South Florida | Specialist | 7360 Coral Way, Suite 11, Miami, FL 33155-1498 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
| 1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
| 1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
| 1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
| 1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
| 1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
| 1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
| 1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
| 1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
| 1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
| Find all providers in zip 33155 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700564 | Kristyn Delgado | Counselor | 8331 Sw 37th St, Miami, FL 33155-3305 | 2020-11-02 |
| 1164022737 | Natalia Azucena | Counselor | 10832 Sw 88th St Apt U7, Miami, FL 33176-1390 | 2020-10-31 |
| 1225638513 | Maria Emilia Espinal Fuchs | Counselor | 11434 Sw 152nd Ct, Miami, FL 33196-5215 | 2020-10-27 |
| 1083212427 | Jadira Lynette Fernandez | Counselor | 10035 Sw 80th Ter, Miami, FL 33173-4001 | 2020-10-16 |
| 1386243715 | Neelam Parmar | Counselor | 41 Se 5th St Apt 1404, Miami, FL 33131-2546 | 2020-10-16 |
| 1144837287 | Rico Counseling Corp | Counselor | 10689 Sw 88th St Ste 305, Miami, FL 33176-1525 | 2020-09-23 |
| 1386250892 | Teresa Zubizarreta | Counselor | 13253 Sw 110th Ter Apt 2, Miami, FL 33186-4394 | 2020-09-20 |
| 1255946307 | Camilla Tamargo | Counselor | 7396 Sw 53rd Pl, Miami, FL 33143-5823 | 2020-09-14 |
| 1417569500 | Isabel Galloso Diaz | Counselor | 15279 Sw 134th Ct Apt 1206, Miami, FL 33177-1181 | 2020-08-19 |
| 1821608605 | Adriana Loredo | Counselor | 2324 Sw 82nd Ct, Miami, FL 33155-1247 | 2020-08-05 |
| Find all providers in MIAMI | ||||
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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.