MR. EDWARD JACKSON (NPI# 1083816326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083816326 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JACKSON |
| Practice Address |
3007 Telegraph Ave Oakland CA 94609-3205 |
| Practice Telephone | 5104331500 |
| Practice Fax Number | 5104331526 |
| Mailing Telephone | 5104331500 |
| Mailing Fax Number | 5104331526 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095899 | Edward Winston Jackson Iv | Behavior Technician | 1715 Vista Del Norte, Chino Hills, CA 91709-5179 | 2020-05-21 |
| 1477640373 | Edward Michael Jackson | Dentist | 405 State St, Hackensack, NJ 07601-4421 | 2006-10-10 |
| 1295835932 | Edward L. Jackson | Chiropractor | 302 S West Outer Rd, Suite C, Archie, MO 64725-9710 | 2006-09-23 |
| 1639104029 | Edward A Jackson | Family Medicine | 7975 Lake Underhill Rd Ste 200, Orlando, FL 32822-8204 | 2006-07-12 |
| 1285611707 | Edward Lawrence Jackson | Pharmacist | Wamc Stop A 2817 Reilly Rd, Mcxc Ph, Fort Bragg, NC 28310-0001 | 2005-12-27 |
| 1649879743 | Edward Jackson Jr. | Marriage & Family Therapist | 9070 Main St, Clarence, NY 14031-1825 | 2020-10-20 |
| 1932652609 | Edward Jackson | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-07-29 |
| 1043606213 | Edward Jackson | Psychologist | 11111 Hall Rd, #303, Utica, MI 48317-5711 | 2015-04-14 |
| 1710129408 | Edward Robert Jackson II | Orthopaedic Surgery | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2009-03-27 |
| 1144389917 | Edward L Jackson Jr. | Counselor | 7750 Clayton Rd, Suite 103, Saint Louis, MO 63117-1353 | 2006-12-08 |
| Street Address |
3007 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932327939 | Sharon Nelson | Social Worker | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2007-04-23 |
| 1679126221 | Sage Institute for Psychedelic Therapy | Psychologist | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2019-07-23 |
| 1063902096 | Irina Alexander | Marriage & Family Therapist | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2018-05-15 |
| 1073769402 | The West Oakland Health Council | Public Health or Welfare | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2008-08-18 |
| 1750546255 | La Keshia C Coleman | Counselor | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2008-07-23 |
| 1467636795 | Deborah James | Registered Nurse | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2007-12-21 |
| 1154522159 | Ola Fuller Bennett | Social Worker | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2007-05-29 |
| 1932310513 | Willie Mae Owens | Counselor | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2007-05-24 |
| 1043421621 | Brenda Watson | Counselor | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330332 | Sara M Haile | Counselor | 339 Lester Ave Apt B, Oakland, CA 94606-1335 | 2020-09-14 |
| 1891327490 | Steven E Blackman | Counselor | 5701 Walnut St, Oakland, CA 94605-1050 | 2020-02-11 |
| 1437796851 | Allen Temple Health & Social Services Ministry | Counselor | 8501 International Blvd., C-105, Oakland, CA 94621-1549 | 2019-12-04 |
| 1225670763 | Greg Joseph Cesena | Counselor | 2321 International Blvd, Oakland, CA 94601-1018 | 2019-10-16 |
| 1588219877 | Ramon Deandre Hall | Counselor | 8425 Macarthur Blvd, Oakland, CA 94605-3553 | 2019-08-05 |
| 1497300925 | Sandra Campbell | Counselor | 7511 Hillside St, Oakland, CA 94605-2821 | 2019-08-01 |
| 1992357057 | Christina Joi Jefferson | Counselor | 2815 West St, Oakland, CA 94608-4535 | 2019-07-09 |
| 1518525674 | Ma Concepsion Rivera Gonzalez | Counselor | 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 | 2019-06-04 |
| 1952873184 | Brenna Mchugh | Counselor | 5250 Redondo Ave, Oakland, CA 94618-1047 | 2018-12-28 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on MR. EDWARD 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.