LISA KATHRYN JACKSON (NPI# 1063548709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063548709 |
| Entity Type | Individual |
| Full Name | LISA KATHRYN JACKSON |
| Credential | LPCC |
| Practice Address |
4312 Carlisle Blvd Ne Albuquerque NM 87107-4811 |
| Practice Telephone | 5053233785 |
| Mailing Telephone | 5053233785 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0124141 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300329 | Lisa Ann Jackson | Speech-Language Pathologist | 802 S Yucatan Dr, Tucson, AZ 85710-4933 | 2019-11-15 |
| 1194292441 | Lisa Jackson | Nurse's Aide | 2423 Montana Blue Dr, Spring, TX 77373-7871 | 2018-10-25 |
| 1770027781 | Lisa Jackson | Registered Nurse | 1520 E Calhoun St, Anderson, SC 29621-2210 | 2016-12-09 |
| 1154711166 | Lisa Jackson | Psychologist | 20111 Horace Harding Expy, Oakland Gardens, NY 11364-1639 | 2015-01-28 |
| 1720493224 | Lisa Nicole Jackson | Specialist/Technologist | 3200 Troup Hwy Ste, 120, Tyler, TX 75701 | 2014-06-24 |
| 1831468420 | Lisa Nicole Jackson | Licensed Practical Nurse | 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 | 2011-12-28 |
| 1992023030 | Lisa Jackson | Massage Therapist | 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 | 2010-05-13 |
| 1487844973 | Lisa Nicole Jackson | Obstetrics & Gynecology | 89-06 135th St, Room 6a, Jamaica, NY 11418 | 2007-07-31 |
| 1497828826 | Lisa Lanette Jackson | Nurse Practitioner | 1117 Chestnut St, Lewisville, AR 71845 | 2006-11-15 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| Street Address |
4312 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326106360 | Richard Blake Hiester | Counselor | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107 | 2006-12-04 |
| 1841780368 | Ptcares Physiotherapy and Wellness | Physical Therapist | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2018-05-10 |
| 1548794357 | Sheng Wu | Physical Therapist | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2017-04-18 |
| 1780129866 | Sunstar Creative and Healing Arts | Community/Behavioral Health | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2016-12-29 |
| 1790139673 | Changing Perspectives Youth and Family Services, LLC | Social Worker | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2016-04-18 |
| 1538545462 | Seasons of Change LLC | Counselor | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2015-08-03 |
| 1073821419 | Megan Davis | Counselor | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2010-09-20 |
| 1649590084 | Craig Thomas Garcia | Case Manager/Care Coordinator | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2010-06-08 |
| 1043532633 | Patricia Yerena Silva | Counselor | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2010-02-23 |
| 1003148651 | Victoria Herrera | Case Manager/Care Coordinator | 4312 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
| 1851901243 | David A Weichbrodt LLC | Counselor | 9412 Las Calabazillas Rd Ne, Albuquerque, NM 87111-2540 | 2020-07-31 |
| 1568080042 | Cyd Davis-hubler LLC | Counselor | 9301 Indian School Rd Ne Ste 200f, Albuquerque, NM 87112-2884 | 2020-07-10 |
| 1568089225 | Wild Rose Healing LLC | Counselor | 4012 Comanche Rd Ne, Albuquerque, NM 87110-1081 | 2020-06-29 |
| 1285267807 | Rickey Martin Apodaca | Counselor | 1 University of New Mexico # 63870, Albuquerque, NM 87131-0001 | 2020-02-21 |
| 1063045250 | You Matter Counseling Services, LLC | Counselor | 9768 Summer Shower Pl Nw, Albuquerque, NM 87120-4195 | 2020-02-17 |
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1639713316 | Mary Lynn Griffin | Counselor | 6401 Bosque Meadows Pl Nw, Albuquerque, NM 87120-8802 | 2019-11-05 |
| 1710534375 | Tender Presence Counseling LLC | Counselor | 2929 Coors Blvd Nw Ste 307c, Albuquerque, NM 87120-1173 | 2019-08-19 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on LISA KATHRYN JACKSON.
| 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.