JERRY LOUIS JACKSON JR. (NPI# 1083097901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083097901 |
Entity Type | Individual |
Full Name | JERRY LOUIS JACKSON JR. |
Practice Address |
801 W 70th St Los Angeles CA 90044-5218 |
Practice Telephone | 3232425000 |
Mailing Telephone | 3232425000 |
Enumeration Date | 2015-07-09 |
Last Update Date | 2018-01-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023549805 | Jerry Jackson | Social Worker | 7937 Westmoreland Ave, Parkville, MD 21234-5435 | 2017-03-23 |
1154423234 | Jerry S Jackson | Podiatrist | 300 Aztec St, Montezuma, KS 67867 | 2006-09-01 |
1386632081 | Jerry D Jackson | Pharmacist | 415 Springwood Dr, Spartanburg, SC 29302-4047 | 2005-10-07 |
1265994313 | Jerry Scott Jackson | Hearing Instrument Specialist | 2601 S Ih 35 Ste A300, Round Rock, TX 78664-7358 | 2019-04-05 |
1902053549 | Jerry Jackson | Registered Nurse | 1830 Flower St, Bakersfield, CA 93305-4144 | 2008-08-26 |
1821261355 | Jerry W Jackson | Pharmacist | 801 Stadium Dr, Suite # 111, Arlington, TX 76011-6254 | 2008-04-04 |
1881874584 | Jerry Jay Jackson | Internal Medicine | 3134 Northside Dr, Bldg B, Key West, FL 33040-8004 | 2007-11-09 |
1528182102 | Jerry Camal Jackson | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-03-19 |
1356423594 | Jerry Edwin Jackson Jr. | Counselor | 3963 Market Street, Suite A, Wilmington, NC 28403 | 2006-10-19 |
1699887166 | Jerry Michael Jackson | Counselor | 11016 Ne 2nd Pl, Bellevue, WA 98004-5830 | 2006-08-31 |
Street Address |
801 W 70TH ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90044-5218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477759603 | Shields for Families | Substance Abuse Rehabilitation Facility | 801 W 70th St, Los Angeles, CA 90044-5218 | 2007-06-25 |
1649879578 | James Scott IIi | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-10-21 |
1790390193 | George Alexander | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-09-11 |
1538789227 | Ronnie Pitre | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-04-22 |
1609402999 | Brian Cruz | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-03-18 |
1326670944 | Devon Hurd | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
1114559721 | Anita Smith | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
1053943621 | Damion Wiseman | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
1992337513 | Khylia Henderson | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
1821630559 | Tasha Collins | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2019-10-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
Find all providers in zip 90044 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90044 |
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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.