CRYSTAL JACKSON (NPI# 1093349367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093349367 |
Entity Type | Individual |
Full Name | CRYSTAL JACKSON |
Practice Address |
422 E Lamar Blvd Ste 108 Arlington TX 76011-3604 |
Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
Practice Telephone | 8177517802 |
Practice Fax Number | 8478595885 |
Mailing Telephone | 8478683435 |
Mailing Fax Number | 8478595885 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 80479 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265081384 | Crystal Jackson | Specialist/Technologist | 2426 Cairns Mill Ct, Charlotte, NC 28269-4083 | 2019-09-11 |
1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
1598140725 | Crystal Jackson | Licensed Practical Nurse | 1585 Holloway Ray Rd, Mc Intyre, GA 31054-2469 | 2015-07-29 |
1336560861 | Crystal Jackson | Counselor | 579 Pimlico Cir, Whitsett, NC 27377-8713 | 2013-12-31 |
1215288865 | Crystal Jackson | Rehabilitation Practitioner | 1018 Mosskag Ct, North Las Vegas, NV 89032-7696 | 2012-09-23 |
1083879837 | Crystal B Jackson | Specialist | 700 Southlake Cir, Youngsville, LA 70592-5671 | 2008-07-22 |
1255595948 | Crystal A. Jackson | Psychologist | 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 | 2008-07-11 |
1659986586 | Crystal E Jackson | Behavior Technician | 6622 N Maroa Ave, Fresno, CA 93704-1209 | 2020-09-08 |
1437796919 | Crystal Rena Jackson | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
1255981130 | Crystal L Jackson | Case Manager/Care Coordinator | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2019-09-12 |
Street Address |
422 E LAMAR BLVD STE 108 |
City | ARLINGTON |
State | TX |
Zip Code | 76011-3604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831439546 | Gregory Noel Southworth | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2013-02-18 |
1518580224 | Jacqueline Polk | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2020-05-28 |
1730714734 | Morgan Williams | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2020-03-10 |
1043843873 | Prentisha Robinson | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2020-02-20 |
1609420066 | Alissia Haggard | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2019-07-24 |
1740846781 | Cassandra Brown | Dietitian, Registered | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2019-05-15 |
1528525532 | Lucretia Reed | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2019-02-26 |
1932678711 | Lindsay Cunningham | Dietitian, Registered | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2018-11-21 |
1184190928 | Carissa Toviessi | Social Worker | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2018-10-19 |
1548755655 | Chavara Hamilton | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2018-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285271361 | Shaina Jayde Arellano | Nurse Practitioner | 420 E Lamar Blvd, Ste 204, Arlington, TX 76011 | 2019-12-07 |
1649827536 | Epic Chiropractic Solutions Pllc | Chiropractor | 600 Six Flags Drive, Center Point Three, Suite 442, Arlington, TX 76011 | 2019-08-25 |
1811452162 | Daniel Max & Marcandrea LLC | Optometrist | 1705 N Collins St #141, Arlington, TX 76011 | 2019-01-31 |
1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
1467974279 | Affinity Sleep Care | Respiratory Therapist, Certified | 601 Magic Mile St, Arlington, TX 76011 | 2017-07-13 |
1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
1811350366 | Kristina Elayne Plano | Counselor | 1112 E. Copeland Road, Suite 310, Arlington, TX 76011 | 2016-04-01 |
1104298686 | North Texas Mobile Urgent Care, Pllc | Nurse Practitioner | 805 Washington Dr., Suite F, Arlington, TX 76011 | 2015-10-23 |
1265819916 | Etta Leora Hammie | Licensed Practical Nurse | 2327 Oakland Blvd, Ft. Worth, TX 76011 | 2015-05-01 |
1548675010 | Kathleen Hall Pignatelli | Licensed Vocational Nurse | 536 W. Randol Rd., Arlington, TX 76011 | 2014-06-24 |
Find all providers in zip 76011 |
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 |
---|---|---|---|---|
1073122719 | David Wooden | Counselor | 4201 Wilson Blvd # 300, Arlington, VA 22203-4417 | 2020-07-29 |
1689295735 | Laura Hart | Counselor | 105 E Division St Ste 2, Arlington, WA 98223-1288 | 2020-04-29 |
1023638921 | Ulrica Latasha Kassar | Counselor | 5911 Kesler Dr, Arlington, TX 76017-1066 | 2020-04-21 |
1073144598 | Taylor Stamey | Counselor | 2009 Botts Dr, Arlington, TX 76012-1818 | 2020-02-03 |
1982243440 | Kamaria Ariel Sidman | Counselor | 926 17th St S, Arlington, VA 22202-2602 | 2020-01-02 |
1578102281 | Thomas Murray | Counselor | 4621 S Cooper St # 131-309, Arlington, TX 76017-5866 | 2019-12-27 |
1518528959 | Emerald Leaf Counseling LLC | Counselor | 5275 Lee Hwy Ste 104, Arlington, VA 22207-1619 | 2019-06-26 |
1649737875 | Jenelle Hallaert | Counselor | 825 S Taylor St, Arlington, VA 22204-1461 | 2019-02-24 |
1114483633 | Candace Jones | Counselor | 7540 Britneywoods Cir, Arlington, TN 38002-7531 | 2019-02-20 |
1730653460 | Tracy Lynn Arion | Counselor | 520 West Way Place, Arlington, TX 76018 | 2019-01-16 |
Find all providers in ARLINGTON |
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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.