MRS. CHRISTINA ANN JACKSON


Address: 4950 Old Collinsville Rd, Swansea, IL 62226-2025
Phone: 6186244060

MRS. CHRISTINA ANN JACKSON (NPI# 1215947627) 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) 1215947627
Entity Type Individual
Full Name MRS. CHRISTINA ANN JACKSON
Other Name CHRISTINA ANN TISHER
Credential L.C.P.C., L.P.C.
Practice Address 4950 Old Collinsville Rd
Swansea
IL 62226-2025
Mailing Address 16006 Surfview Ct
Grover
MO 63040-1907
Practice Telephone 6186244060
Practice Fax Number 6186244390
Mailing Telephone 6364582275
Mailing Fax Number 6368211279
Enumeration Date 2006-08-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
2000173235 MO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
IL Behavioral Health & Social Service Providers

Other Providers CHRISTINA JACKSON

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1114307766 Christina Lynn Jackson Student in an Organized Health Care Education/Training Program 701 N Senate Ave, Indianapolis, IN 46202-3111 2015-06-08
1922236876 Christina Elizabeth Jackson Speech-Language Pathologist 6240 Hackberry Creek Trl, Apt. # 324, Charlotte, NC 28269-0468 2009-06-30
1336287234 Christina M Jackson Physical Therapist 2312 Bennett Ave, Point Pleasant, NJ 08742 2007-02-02
1619065182 Christina E Jackson Registered Nurse 675 North University Blvd, Middletown, OH 45042 2006-10-10
1912519638 Christina Renee Jackson Physical Therapy Assistant 21044 95th Ave S, Boca Raton, FL 33428-1500 2020-08-24
1477193811 Christina M Jackson Adult Companion 304 Pearl St, Oregon City, OR 97045-2684 2020-01-14
1073089702 Christina Jackson Counselor 17 N Dearborn St, Chicago, IL 60602-4310 2018-10-20
1700383130 Christina Jackson Case Manager/Care Coordinator 3100 E 45th St, Cleveland, OH 44127-1088 2018-04-11
1841716313 Christina Renee' Jackson Case Manager/Care Coordinator 2525 Youree Dr Ste 110, Shreveport, LA 71104 2017-08-16

Office Location

Street Address 4950 OLD COLLINSVILLE RD
City SWANSEA
State IL
Zip Code 62226-2025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790799419 Richard Mark Mccormick Counselor 4950 Old Collinsville Rd, Swansea, IL 62226-2025 2006-07-28
1366931917 Amy Donathan Marriage & Family Therapist 4950 Old Collinsville Rd, Swansea, IL 62226-2025 2018-05-08
1760751614 Melissa Spriggs Counselor 4950 Old Collinsville Rd, Swansea, IL 62226-2025 2011-12-21
1750506416 Michael Diller Counselor 4950 Old Collinsville Rd, Swansea, IL 62226-2025 2007-04-16
1902020944 Michelle R. Witt Social Worker 4950 Old Collinsville Rd, Swansea, IL 62226-2025 2007-04-12
1881817260 Cindy Lee Winters Counselor 4950 Old Collinsville Rd, Swansea, IL 62226-2025 2007-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639778160 Roxanna Lee Gunnels Nurse Practitioner 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 2020-10-26
1053969790 Consistent Medical Transportation Driver 2012 N 17th St, Swansea, IL 62226 2019-08-27
1497314371 Medi-plex Hospice of Illinois, LLC Registered Nurse 8 Park Place, Suite #3, Swansea, IL 62226 2019-06-13
1336617364 Nicole Renee Schmidt Speech-Language Pathologist 150 N 27th St., Belleville, IL 62226 2018-11-07
1295258903 Catherine Espino Pharmacist 11 Chambers Blvd, Swansea, IL 62226 2017-07-25
1366806838 Kiley Faires Nurse Practitioner 4600 Memorial Drive Ste 360, Belleville, IL 62226 2016-04-11
1760857585 Mvp Transportation Non-emergency Medical Transport (VAN) 1229 N 17th Street, Number 23, Belleville, IL 62226 2015-12-04
1275952566 Aisha Danyale Franklin Internal Medicine 4261 Woodfield Pl, Belleville, IL 62226 2014-04-15
1396168332 Jayne E. Ninness Physical Therapy Assistant 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 2014-01-28
1053758193 Gateway Foundation, Inc. Clinic/Center 1 Bronze Point, Suite 1, Swansea, IL 62226 2013-05-30
Find all providers in zip 62226

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578832481 Wendy Carol Arneson Counselor 34 Huntwood Ct, Swansea, IL 62226-1095 2011-12-21
1891005278 Catherine Ann Daesch Counselor 208 West Pointe Dr., Suite B, Swansea, IL 62226 2010-10-19
1083845424 Kimberly Noel Rydgig Counselor 208 W Pointe Dr, Suite B, Swansea, IL 62226-8302 2009-08-03
1902055338 Mindy Harms-coleman Counselor 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 2008-09-10
1174737175 Rebecca Marie Green Counselor 463 Swansea Mall Dr, Swansea, MA 02777-4119 2007-05-09
1669514170 Harold Jerry Mizner Counselor 135 New Meadow Rd, Swansea, MA 02777-3347 2007-02-12
1609930486 Kathryn Klee Counselor 110 Fullerton Rd, Swansea, IL 62226-2902 2006-12-19
1407460652 Joshua Luther Counselor 1 Bronze Point, Swansea, IL 62226 2020-09-04
1831712900 Terry Turner Counselor 4132 Woodland Park Dr, Swansea, IL 62226-8554 2020-05-24
1225660079 Christine Elaine Benton Counselor 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 2020-02-10
Find all providers in SWANSEA

Competitor

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City SWANSEA
Zip Code 62226

Improve Information

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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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