NICOLE L JACKSON


Address: 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531
Phone: 3146566153

NICOLE L JACKSON (NPI# 1053745521) 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) 1053745521
Entity Type Individual
Full Name NICOLE L JACKSON
Credential LPC
Practice Address 3394 Mckelvey Rd Ste 116
Bridgeton
MO 63044-2531
Mailing Address 501 Lynn Haven Ln
Hazelwood
MO 63042-1809
Practice Telephone 3146566153
Mailing Telephone 3146078653
Enumeration Date 2013-09-02
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2013023409 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 490048738 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1633 Hudson Rd, Saint Louis, MO 631362313 3147203024

Other Providers NICOLE JACKSON

NPI Name Taxonomy Address Enumeration
1699184689 Nicole Jackson Specialist 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 2014-08-05
1245569276 Nicole Denise Jackson Licensed Practical Nurse 2122 Ridge Rd W, Rochester, NY 14626-2802 2009-12-22
1144559931 Nicole L Jackson Licensed Practical Nurse 18680 Main Street, Tontogany, OH 43565 2009-12-08
1144489261 Nicole L. Jackson Counselor 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 2008-06-04
1124299680 Nicole Jackson Licensed Practical Nurse 1830 Southern Pkwy, Springfield, OH 45506-3115 2008-03-12
1578740023 Nicole Jackson Counselor 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 2008-01-28
1205999588 Nicole Lewis Jackson Dentist 3298 Northside Dr, Macon, GA 31210 2006-12-18
1104447275 Nicole Feliz Jackson Specialist/Technologist 1301 S Us Highway 377, Argyle, TX 76226-7744 2020-04-30
1023637220 Nicole Jackson Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-04-09
1609405539 Nicole Yvonne Jackson Licensed Practical Nurse 15 Frederick Ave, Akron, OH 44310-2904 2020-04-03

Office Location

Street Address 3394 MCKELVEY RD STE 116
City BRIDGETON
State MO
Zip Code 63044-2531

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639700024 Nlj Counseling and Coaching Services, LLC Counselor 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 2020-02-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811555782 Cecilia Dominique Carter Counselor 3751 Pennridge Dr Ste 113, Bridgeton, MO 63044-1244 2019-06-05
1578126132 Jazell Dailey Thomas Counselor 11520 Saint Charles Rock Rd Ste 103, Bridgeton, MO 63044-2732 2019-04-19
1841799459 Robin S Moore-chambers Counselor 11520 Saint Charles Rock Rd Ste 215, Bridgeton, MO 63044-2732 2018-02-09
1487180048 Stacy Rowlett Counselor 3548 Yellow Jasmine Dr, Bridgeton, MO 63044-3192 2017-05-02
1770028193 Emily Mcleod Counselor 12301 Depaul Dr., Bridgeton, MO 63044 2016-12-20
1568870335 Danielle White Counselor 3435 Bridgeland Dr, Suite B, Bridgeton, MO 63044-2638 2014-07-24
1679750798 Kandy M Smith Counselor 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244 2008-01-31
1255462586 Deborah Kay Peters Counselor 11300 Saint Charles Rock Rd, Bridgeton, MO 63044-2721 2007-03-08
1275132771 Amber Wilson Counselor 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244 2020-10-26
1639700024 Nlj Counseling and Coaching Services, LLC Counselor 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 2020-02-04
Find all providers in BRIDGETON

Competitor

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City BRIDGETON
Zip Code 63044

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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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