MISS CARLA JACKSON (NPI# 1063901411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063901411 |
| Entity Type | Individual |
| Full Name | MISS CARLA JACKSON |
| Practice Address |
2140 Merced St Fresno CA 93721-1721 |
| Practice Telephone | 5598921125 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CENTRAL STAR | P-041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555770 | Carla L Jackson | Social Worker | 3518 Tupelo Way, Knoxville, TN 37912-4885 | 2019-12-12 |
| 1053812180 | Carla Jackson | Chore Provider | 2500 Clayton St, N Las Vegas, NV 89032-3802 | 2018-02-23 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1902159080 | Carla Yolanda Jackson | Counselor | 6108 Centennial Dr, Orlando, FL 32808-1842 | 2012-10-26 |
| 1558554055 | Carla Wood Jackson | Speech-Language Pathologist | 600 W College Ave, Fsu Speech & Hearing Clinic, Tallahassee, FL 32306-1058 | 2007-08-20 |
| 1427591429 | Carla Jackson | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2016-11-22 |
| 1194142257 | Carla M. Michel Jackson | Nurse Practitioner | 1033 E Mount Pleasant Rd, Evansville, IN 47725-7149 | 2014-03-26 |
| Street Address |
2140 MERCED ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593192 | Gerardo Puga | Marriage & Family Therapist | 2140 Merced St, Fresno, CA 93721-1721 | 2007-05-03 |
| 1528544020 | Brenda Pheaktra Hem | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-07-17 |
| 1790270031 | Brenna Elise Garcia | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-28 |
| 1548755861 | Elia Lopez | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-28 |
| 1558856286 | Jayla Jamile Fiedor | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-26 |
| 1023502150 | Wendy Davis | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-21 |
| 1043704588 | Amanda Hem | Licensed Vocational Nurse | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-19 |
| 1033603436 | Rasmee Vang | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-19 |
| 1205320785 | James A Ortiz | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-19 |
| 1679066716 | Jeffrey Jerome Stanley Jr. | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592621 | Marcus Zachary, D.o., P.C. | Counselor | 7111 N Fresno St Ste 200, Fresno, CA 93720-2959 | 2020-09-09 |
| 1871110932 | The Fresno Center | Counselor | 4891 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-07-06 |
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1679123723 | Sandy Ounmano | Counselor | 4855 E King Cyn Rd, Fresno, CA 93727-3811 | 2019-09-19 |
| 1609422815 | Alicia Becton | Counselor | 7110 W San Bruno Ave, Fresno, CA 93723-4069 | 2019-08-13 |
| 1053963645 | Stephanie Elizabeth Trevino | Counselor | 5162 E Braly Ave, Fresno, CA 93727-5906 | 2019-07-12 |
| 1386204691 | Giovanni Ismael Arreaga | Counselor | 4411 E Kings Canyon Rd # 310, Fresno, CA 93702-3604 | 2019-06-18 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1235607409 | Sandra Elizabeth Valle | Counselor | 496 South Barton Avenue, Fresno, CA 93750-0001 | 2018-11-06 |
| Find all providers in FRESNO | ||||
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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.