MS. JAMILLAH A. JACKSON (NPI# 1235463308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235463308 |
Entity Type | Individual |
Full Name | MS. JAMILLAH A. JACKSON |
Credential | MS/EDS, NCC, LPC |
Practice Address |
4600 Emperor Blvd Durham NC 27703-8577 |
Practice Telephone | 9196518558 |
Enumeration Date | 2009-09-23 |
Last Update Date | 2014-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 8340 | NC | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
8340 | NC | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
8340 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC. | 246803 | 01 | |
NC | THE NC BOARD OF LICENSED PROFESSIONAL COUNSELORS | 8340 | 01 |
Street Address |
4600 EMPEROR BLVD |
City | DURHAM |
State | NC |
Zip Code | 27703-8577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821054941 | April Tripp Parker | Counselor | 4600 Emperor Blvd, Durham, NC 27703-8577 | 2006-04-26 |
1962661710 | Colleen Marie Cook | Counselor | 4600 Emperor Blvd, Durham, NC 27703-8577 | 2008-06-06 |
1316071038 | Melissa Murray Simpson | Counselor | 4600 Emperor Blvd, Ste. 200, Durham, NC 27703-8577 | 2007-03-15 |
1174673792 | Moya Tiko Foster | Psychologist | 4600 Emperor Blvd, Ste. 200, Durham, NC 27703-8577 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
Find all providers in zip 27703 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
1376160218 | Compass Family Therapy, Pllc | Counselor | 3326 Guess Rd Ste 207, Durham, NC 27705-2160 | 2020-06-26 |
1144857665 | Jennifer Saucier Simmons | Counselor | 212 Maiden Ln, Durham, CT 06422-2017 | 2020-03-25 |
1902457328 | Natalie Haskins Parmenter | Counselor | 5825 Sandstone Dr, Durham, NC 27713-1925 | 2019-09-26 |
1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
1205314390 | Ashley Danielle Gilmore | Counselor | 48 Intuition Cir, Durham, NC 27705-2881 | 2018-08-01 |
1477060606 | Benjamin Christian Willcott | Counselor | 2612 N Roxboro St, Durham, NC 27704-4350 | 2018-01-09 |
1851842694 | Bull City Psychotherapy, Pllc | Counselor | 1816 Front St Ste 250, Durham, NC 27705-2598 | 2016-10-17 |
1730632506 | Selena Waite | Counselor | 2309 Nebo St, Durham, NC 27707-4231 | 2016-07-28 |
Find all providers in DURHAM |
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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.