MS. CHRISTINA JACOBS (NPI# 1104302835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104302835 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINA JACOBS |
| Credential | LMSW |
| Practice Address |
1742 Cheryl St Clarksdale MS 38614-7218 |
| Mailing Address |
Po Box 1046 Clarksdale MS 38614-1046 |
| Practice Telephone | 6626277267 |
| Practice Fax Number | 6626275240 |
| Mailing Telephone | 6626277267 |
| Mailing Fax Number | 6626275240 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MS | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487098208 | Christina L Jacobs | Licensed Practical Nurse | 356 Maple Dr, Columbus, OH 43228-1193 | 2013-04-23 |
| 1902010291 | Christina Quevedo Jacobs | Counselor | 3285 N. Sparrow, Flagstaff, AZ 86004 | 2007-05-09 |
| 1902426315 | Christina Jacobs | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2020-04-26 |
| 1013371533 | Christina Jacobs | Mechanotherapist | 410 S Spruce St, Burlington, WA 98233-2234 | 2016-04-11 |
| 1912381989 | Christina Jacobs | Registered Nurse | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2015-07-19 |
| 1326433889 | Christina Jacobs | Occupational Therapist | 41 Rickel Rd, Sun Prairie, WI 53590-1840 | 2015-04-01 |
| 1679591499 | Christina Veronica Jacobs | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2006-07-18 |
| Street Address |
1742 CHERYL ST |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548207665 | Clarksdale Speech and Hearing Center | Audiologist-Hearing Aid Fitter | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2006-05-31 |
| 1881236495 | Connie Mitchell | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2019-10-15 |
| 1477112373 | Lakeia Shonte Starks | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2019-06-13 |
| 1013577972 | Jamesha Steele | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2019-06-13 |
| 1245899277 | Tomeka Amelia James | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2019-06-12 |
| 1447717491 | Felicia Lashay Young | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2019-02-26 |
| 1487118949 | Lakedra T Hampton | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2019-01-29 |
| 1548749120 | Amber Jones | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-14 |
| 1962981548 | Danielle D Housley | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-14 |
| 1891274619 | Patrick D Martin | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548749120 | Amber Jones | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-14 |
| 1891274619 | Patrick D Martin | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-13 |
| 1316426430 | Camila A Moore | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-09 |
| 1659850709 | Meghann E Gulledge Yee | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-09 |
| 1487133583 | Robert Harding Corley | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2018-08-09 |
| 1487104741 | Mary Haley Chaney | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2016-10-11 |
| 1538619796 | Quinton Smith | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1356948277 | Tiffany Nicole Dear | Counselor | 28 Dobby Ln, Hattiesburg, MS 39402-7044 | 2020-10-04 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1871115089 | Bernard Anthony Matherne Jr. | Counselor | 226 Lowe Lane, Lucedale, MS 39452-4313 | 2020-05-11 |
| 1952953085 | David Jack Hale | Counselor | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2019-07-09 |
| 1003472838 | Chameleon Davis | Counselor | 71 Sharkey Rd, Glendora, MS 38928-2531 | 2019-05-16 |
| 1255821666 | Ashley Hall | Counselor | 1989 Pass Rd Ste B, Biloxi, MS 39531-4103 | 2018-05-11 |
| 1194213132 | Alicia Nicole Danley | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-04-25 |
| 1235632696 | Impact Behavioral Counseling LLC | Counselor | 3600 Bluecutt Rd Ste 202, Columbus, MS 39705-1303 | 2018-03-13 |
| 1164923769 | Janice Lyons | Counselor | 1701 White St # 768, Mccomb, MS 39648-2711 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
Please comment or provide details below to improve the information on MS. CHRISTINA JACOBS.
| 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.