CRYSTAL JACKSON


Address: 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604
Phone: 8177517802

CRYSTAL JACKSON (NPI# 1093349367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 80479 TX Behavioral Health & Social Service Providers

Other Providers CRYSTAL JACKSON

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

Office Location

Street Address 422 E LAMAR BLVD STE 108
City ARLINGTON
State TX
Zip Code 76011-3604

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ARLINGTON
Zip Code 76011

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Dataset Information

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.

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