MS. JAMILLAH A. JACKSON


Address: 4600 Emperor Blvd, Durham, NC 27703-8577
Phone: 9196518558

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC. 246803 01
NC THE NC BOARD OF LICENSED PROFESSIONAL COUNSELORS 8340 01

Office Location

Street Address 4600 EMPEROR BLVD
City DURHAM
State NC
Zip Code 27703-8577

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City DURHAM
Zip Code 27703

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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