LON JACKMAN (NPI# 1255608170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255608170 |
| Entity Type | Individual |
| Full Name | LON JACKMAN |
| Practice Address |
200 Route 108 Somersworth NH 03878-1119 |
| Practice Telephone | 6039530077 |
| Mailing Telephone | 6039530077 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
200 ROUTE 108 |
| City | SOMERSWORTH |
| State | NH |
| Zip Code | 03878-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487756631 | Melba Leene Thompson | Registered Nurse | 200 Route 108, Somersworth, NH 03878-1119 | 2006-09-01 |
| 1811596075 | Anthony Britch | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-10-20 |
| 1225647266 | Emily Mae Gagnon | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-07-27 |
| 1275159352 | Darrell St. Clemmons | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-06-24 |
| 1821614124 | Matthew Bouchea | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-06-23 |
| 1447891684 | Ellen Willis | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2019-09-30 |
| 1033672902 | Linda Lee Tenbroeck-brown | Prevention Professional | 200 Route 108, Somersworth, NH 03878-1119 | 2019-04-09 |
| 1396224978 | Diana Bertulyte | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2018-08-14 |
| 1023564424 | Philip Gleason | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2016-08-27 |
| 1578929337 | Matthew Garthwait | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207395 | Foojan Ghahramani | Counselor | Hcrc, 200 Nh-108, Somersworth, NH 03878 | 2019-07-19 |
| 1649760422 | Tanya Lee Thompson | Counselor | 200 Nh-108, Somersworth, NH 03878 | 2018-05-16 |
| 1427588177 | Tri City Counseling | Clinic/Center | 150 West High St, Somersworth, NH 03878 | 2017-06-15 |
| 1952780405 | Stephanie Slate | Dentist | 158c Route 108, Somersworth, NH 03878 | 2015-05-29 |
| 1528446085 | Ann F Fisher | Nurse Practitioner | 296 Maine St, Haverhilll, MA 03878 | 2015-05-15 |
| 1235567264 | Wentworth Surgery Center, LLC | Clinic/Center | 6 Works Way, Somersworth, NH 03878 | 2013-10-30 |
| 1255601241 | Seacoast Business & Health Clinic Inc | Physical Therapist | 396 High St Ste 1, Seacoast Redicare, Somersworth, NH 03878 | 2012-01-06 |
| 1043505209 | Matthew Donohue | Physical Therapist | 7 Marsh Brook Drive, Suite 101, Somersworth, NH 03878 | 2011-06-16 |
| 1013050558 | Elizabeth Nelson | Registered Nurse | Goodwin Community Health 311 Route 108, Somersworth, NH 03878 | 2007-02-15 |
| 1811057581 | William C Brewster | Internal Medicine | 396 High Street, Seacoast Redicare, Somersworth, NH 03878 | 2006-12-11 |
| Find all providers in zip 03878 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538428 | Jessica Ann Parent | Counselor | 361 Route 108, Somersworth, NH 03878-1643 | 2018-12-04 |
| 1649760422 | Tanya Lee Thompson | Counselor | 200 Nh-108, Somersworth, NH 03878 | 2018-05-16 |
| 1811596075 | Anthony Britch | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-10-20 |
| 1225647266 | Emily Mae Gagnon | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-07-27 |
| 1275159352 | Darrell St. Clemmons | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-06-24 |
| 1821614124 | Matthew Bouchea | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2020-06-23 |
| 1447891684 | Ellen Willis | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2019-09-30 |
| 1093299539 | Christopher Paul Trask | Counselor | 311 Route 108, Somersworth, NH 03878-1522 | 2018-09-20 |
| 1396224978 | Diana Bertulyte | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2018-08-14 |
| 1023564424 | Philip Gleason | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2016-08-27 |
| Find all providers in SOMERSWORTH | ||||
| City | SOMERSWORTH |
| Zip Code | 03878 |
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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.