LISA M JACKSON (NPI# 1184076630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184076630 |
| Entity Type | Individual |
| Full Name | LISA M JACKSON |
| Credential | PLPC |
| Practice Address |
305 S Highland Dr Many LA 71449-3719 |
| Mailing Address |
2525 Youree Dr Ste 110 Shreveport LA 71104-3600 |
| Practice Telephone | 3182565200 |
| Mailing Telephone | 3187423408 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7749 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Clsh Unit 6-wing D, Pineville, LA 71360 | 3184415900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300329 | Lisa Ann Jackson | Speech-Language Pathologist | 802 S Yucatan Dr, Tucson, AZ 85710-4933 | 2019-11-15 |
| 1194292441 | Lisa Jackson | Nurse's Aide | 2423 Montana Blue Dr, Spring, TX 77373-7871 | 2018-10-25 |
| 1770027781 | Lisa Jackson | Registered Nurse | 1520 E Calhoun St, Anderson, SC 29621-2210 | 2016-12-09 |
| 1154711166 | Lisa Jackson | Psychologist | 20111 Horace Harding Expy, Oakland Gardens, NY 11364-1639 | 2015-01-28 |
| 1720493224 | Lisa Nicole Jackson | Specialist/Technologist | 3200 Troup Hwy Ste, 120, Tyler, TX 75701 | 2014-06-24 |
| 1831468420 | Lisa Nicole Jackson | Licensed Practical Nurse | 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 | 2011-12-28 |
| 1992023030 | Lisa Jackson | Massage Therapist | 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 | 2010-05-13 |
| 1487844973 | Lisa Nicole Jackson | Obstetrics & Gynecology | 89-06 135th St, Room 6a, Jamaica, NY 11418 | 2007-07-31 |
| 1497828826 | Lisa Lanette Jackson | Nurse Practitioner | 1117 Chestnut St, Lewisville, AR 71845 | 2006-11-15 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| Street Address |
305 S HIGHLAND DR |
| City | MANY |
| State | LA |
| Zip Code | 71449-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720457484 | Laura Anne Billingsley | Counselor | 305 S Highland Dr, Many, LA 71449-3719 | 2015-09-23 |
| 1992310239 | Marlee Alexandra Davis | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2020-09-14 |
| 1841809423 | Precious Lashae Smith | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2020-07-29 |
| 1730710237 | Renita Bender Billingslea | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2020-02-03 |
| 1255962767 | Kate Leigh Losavio | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2020-02-03 |
| 1205489747 | Dorianna Telsee | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2019-07-23 |
| 1255993424 | Lindy Branch | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2019-07-08 |
| 1770145658 | Linda Casson | Case Manager/Care Coordinator | 305 S Highland Dr, Many, LA 71449-3719 | 2019-07-01 |
| 1700444288 | Katie Summerell | Counselor | 305 S Highland Dr, Many, LA 71449-3719 | 2019-05-30 |
| 1629534920 | Juan M Rodriguez | Counselor | 305 S Highland Dr, Many, LA 71449-3719 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
| 1740836006 | Ltc Specialty LLC | Pharmacy | 536 Highway 171 Bypass, Many, LA 71449 | 2019-08-13 |
| 1134774144 | Hulin Urgent Care Services, LLC | Clinic/Center | 160 San Antonio Ave, Many, LA 71449 | 2019-08-06 |
| 1063965911 | Kristi Hammer | Counselor | 305 South Highland Dr, Many, LA 71449 | 2016-07-27 |
| 1477913374 | Kearstin Cooley | Physical Therapist | 326 Fisher Road, Many, LA 71449 | 2016-03-04 |
| 1861755167 | Frances Rose Strickland | Registered Nurse | 1230 W, La. Ave, Many, LA 71449 | 2012-06-21 |
| 1932404159 | Shelley Leanne Cartinez | Nurse Practitioner | 315 S. Highland Drive, Many, LA 71449 | 2011-01-19 |
| 1104134725 | Wal-mart Stores East Lp | Technician/Technologist | 25800 Hwy 171, Many, LA 71449 | 2010-09-16 |
| 1194031237 | Grace Ekanem Dinvaut | Nurse Practitioner | 1050 N Robinson St, Many, LA 71449 | 2010-08-26 |
| 1235314022 | Allegiance Hospital of Many, LLC | Clinic/Center | 395 South Capitol Street, Sabine Medical Center Rural Health Clinic #1, Many, LA 71449 | 2007-12-31 |
| Find all providers in zip 71449 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720457484 | Laura Anne Billingsley | Counselor | 305 S Highland Dr, Many, LA 71449-3719 | 2015-09-23 |
| 1629534920 | Juan M Rodriguez | Counselor | 305 S Highland Dr, Many, LA 71449-3719 | 2019-02-12 |
| 1609277532 | Maggie Welch | Counselor | 580 Main St, Many, LA 71449-3005 | 2014-09-10 |
| 1194090472 | Carol Leatherman Brian | Counselor | 580 Main St, Many, LA 71449-3005 | 2012-03-20 |
| 1699059899 | Ashton Ezernack | Counselor | 265 Highland Drive, Many, LA 71449-3717 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363202 | Allison Gregerson | Counselor | 5016 Ithaca St, Metairie, LA 70006-2540 | 2020-10-14 |
| 1437766573 | Always Hope LLC | Counselor | 38105 Post Office Rd Ste 8, Prairieville, LA 70769-4296 | 2020-09-23 |
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
| 1093323214 | Scott Moran | Counselor | 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 | 2020-07-14 |
| 1700404175 | Gerard Williams | Counselor | 2621 Long Branch Dr, Marrero, LA 70072-5854 | 2020-07-11 |
| 1356966899 | Carey Bergeron | Counselor | 9721 Paula Dr, River Ridge, LA 70123-1915 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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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.