MARY JACKSON (NPI# 1184009367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184009367 |
| Entity Type | Individual |
| Full Name | MARY JACKSON |
| Credential | LPC, TLAC |
| Practice Address |
3205 Clinton Parkway Ct Lawrence KS 66047-2627 |
| Practice Telephone | 7858435483 |
| Practice Fax Number | 7858415433 |
| Mailing Telephone | 7858435483 |
| Mailing Fax Number | 7858415433 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2752 | KS | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1277 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
3205 CLINTON PARKWAY CT |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710008461 | Professional Treatment Services, LLC | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2007-04-02 |
| 1588298640 | Kimberly Ann Meeker | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2020-02-27 |
| 1649751454 | Marisa Garcia | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2018-08-29 |
| 1194241315 | Carly Curtis | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2017-08-18 |
| 1598160244 | Charles Eugene Wheeler | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2014-10-23 |
| 1982008710 | Katlynne Coleman | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2014-10-22 |
| 1770924441 | William Clay Walters | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2013-07-10 |
| 1730379462 | M Charlene Peacock | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176186 | Ellen Virginia Murphy | Counselor | 360 Merrimack St Bldg J3, Lawrence, MA 01843-1740 | 2020-08-25 |
| 1639798820 | Katrina Thomas | Counselor | 4455 Mccoy St Ste 301, Lawrence, IN 46226-2983 | 2020-04-09 |
| 1588189120 | Brian E. Blevins | Counselor | 3205 Clinton Parkway Court, Lawrence, KS 66047-2627 | 2017-08-04 |
| 1174048839 | Michael Mcrill | Counselor | 1701 W 4th St Apt D8, Lawrence, KS 66044-4630 | 2017-08-03 |
| 1639693591 | Jamee Horton | Counselor | 2500 W 31st St Ste G, Lawrence, KS 66047-3051 | 2017-08-01 |
| 1487192084 | Janace Maynard | Counselor | 1329 Stone Creek Dr, Lawrence, KS 66049-4790 | 2017-02-03 |
| 1568912152 | Ferreras Counseling LLC | Counselor | 439 S Union St Unit 2104, Lawrence, MA 01843-2800 | 2016-10-07 |
| 1669824942 | Sally J Mcvey | Counselor | 3300 Clinton Parkway Ct Ste 201, Lawrence, KS 66047-2657 | 2016-07-11 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1164847927 | Kerri Christina Khatib | Counselor | 1625 Saint Andrews Dr, Lawrence, KS 66047-1701 | 2014-03-03 |
| Find all providers in LAWRENCE | ||||
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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.