JASON ALLEN JACKSON (NPI# 1134782337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134782337 |
| Entity Type | Individual |
| Full Name | JASON ALLEN JACKSON |
| Credential | CPSW |
| Practice Address |
912 1st St Nw Albuquerque NM 87102-2355 |
| Practice Telephone | 5052249777 |
| Practice Fax Number | 5052249779 |
| Mailing Telephone | 5052249777 |
| Mailing Fax Number | 5052249779 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 816 | NM | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912363458 | Jason Jackson | Technician, Pathology | 4 E Weald Ave, Bear, DE 19701-1664 | 2016-01-13 |
| 1871844191 | Jason Matthew Jackson | Physician Assistant | 930 W Ralph Hall Pkwy Ste 108, Rockwall, TX 75032-6664 | 2012-09-26 |
| 1932374428 | Jason Jackson | Physical Therapist | 2631 Cottage Creek Dr, Pearland, TX 77584-9801 | 2008-04-25 |
| 1508491614 | Jason A Jackson | Pharmacist | 416 S Tyler St, Amarillo, TX 79101-2346 | 2020-03-09 |
| 1619381548 | Jason Jackson | Community Based Residential Treatment Facility, Mental Illness | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-06-18 |
| 1346660826 | Jason Ryan Jackson | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2014-04-23 |
| 1285059519 | Jason Jackson | Counselor | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2014-02-24 |
| 1033290226 | Jason Jackson | Physical Therapist | 1468 Madison Avenue, New York, NY 10029-6574 | 2006-10-17 |
| 1649378464 | Jason Cole Jackson | Chiropractor | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2006-09-20 |
| 1316907298 | Jason Jackson | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2006-03-24 |
| Street Address |
912 1ST ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205114816 | Christian Shaw | Preventive Medicine | 912 1st St Nw, Albuquerque, NM 87102 | 2011-07-31 |
| 1407456742 | Gabriela Gallegos | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-10-27 |
| 1942823125 | Dawn Green | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-05-22 |
| 1548890007 | James K Aragon | Counselor | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-01-23 |
| 1730742941 | Christina R Hynes | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-04-15 |
| 1518430669 | Brittney Hogan | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-01-10 |
| 1558830927 | Shelly Brooke Dallas | Counselor | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2018-11-15 |
| 1427526656 | Patrick Kochersperger | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2018-11-06 |
| 1730665274 | Irwin Foster | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2018-07-18 |
| 1477071611 | Therese Ann Moreno | Social Worker | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882795 | Mateo R Duran | Peer Specialist | 10519 Trieste Ct Nw, Albuquerque, NM 87114-5187 | 2018-12-06 |
| 1891174140 | Osman Varela | Peer Specialist | 402 1/2 Harvard Dr Se, Albuquerque, NM 87106-3527 | 2015-05-20 |
| 1407456742 | Gabriela Gallegos | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-10-27 |
| 1306443148 | Andrea Michelle Vallejos | Peer Specialist | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2020-10-05 |
| 1033729652 | Stacy L Burleson | Peer Specialist | 3150 Carlisle Blvd Ne Ste 110, Albuquerque, NM 87110-1681 | 2020-08-07 |
| 1134738651 | Antonio N Johnson | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-07-30 |
| 1396363677 | Liliana Spurgeon | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-07-13 |
| 1801413026 | Christopher Padilla | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-07-03 |
| 1679196489 | Denise Lerouge | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-05-27 |
| 1942823125 | Dawn Green | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-05-22 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on JASON ALLEN 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.