CRYSTAL L JACKSON (NPI# 1255981130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255981130 |
Entity Type | Individual |
Full Name | CRYSTAL L JACKSON |
Practice Address |
1290 Chambers Rd Aurora CO 80011-7117 |
Mailing Address |
1290 Chambers Rd Ste 238 Aurora CO 80011-7117 |
Practice Telephone | 3036172300 |
Practice Fax Number | 3036172397 |
Mailing Telephone | 3036172300 |
Mailing Fax Number | 3036172397 |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265081384 | Crystal Jackson | Specialist/Technologist | 2426 Cairns Mill Ct, Charlotte, NC 28269-4083 | 2019-09-11 |
1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
1598140725 | Crystal Jackson | Licensed Practical Nurse | 1585 Holloway Ray Rd, Mc Intyre, GA 31054-2469 | 2015-07-29 |
1336560861 | Crystal Jackson | Counselor | 579 Pimlico Cir, Whitsett, NC 27377-8713 | 2013-12-31 |
1215288865 | Crystal Jackson | Rehabilitation Practitioner | 1018 Mosskag Ct, North Las Vegas, NV 89032-7696 | 2012-09-23 |
1083879837 | Crystal B Jackson | Specialist | 700 Southlake Cir, Youngsville, LA 70592-5671 | 2008-07-22 |
1255595948 | Crystal A. Jackson | Psychologist | 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 | 2008-07-11 |
1659986586 | Crystal E Jackson | Behavior Technician | 6622 N Maroa Ave, Fresno, CA 93704-1209 | 2020-09-08 |
1093349367 | Crystal Jackson | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2020-02-26 |
1437796919 | Crystal Rena Jackson | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
Street Address |
1290 CHAMBERS RD |
City | AURORA |
State | CO |
Zip Code | 80011-7117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033229810 | Erica L Weis | Psychiatry & Neurology | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2006-08-30 |
1134720980 | Camio Taylor | Case Manager/Care Coordinator | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-11-06 |
1518567775 | Claire Bennett Diamonstein | Social Worker | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-27 |
1730788605 | Lisa Marie Chavez | Counselor | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-21 |
1588262067 | Lauren M Caldas | Student in an Organized Health Care Education/Training Program | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-15 |
1568069920 | Gladys Denise Matthews | Case Manager/Care Coordinator | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-07 |
1720685423 | Aurora Comprehensive Community Mental Health Center | Clinic/Center | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-06 |
1336756881 | Kristin Meghan Pyne | Psychologist | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-09-29 |
1952917361 | Colin Leo Glenday | Student in an Organized Health Care Education/Training Program | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-09-21 |
1962018572 | Aliria Bello | Counselor | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-09-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
Find all providers in zip 80011 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407456411 | Nicole Amanda Togun | Case Manager/Care Coordinator | 1290 Chambers Rd Ste 238, Aurora, CO 80011-7117 | 2020-10-28 |
1215558440 | Antonio De Jesus Millan | Case Manager/Care Coordinator | 964 Kingston St, Aurora, CO 80010-4108 | 2020-04-28 |
1487285078 | Berretta Malone | Case Manager/Care Coordinator | 1290 Chambers Rd Apt 2, Aurora, CO 80011-7117 | 2020-01-31 |
1811536014 | Joshua Whitelaw | Case Manager/Care Coordinator | 708 Arbor Way, Aurora, OH 44202-9113 | 2020-01-06 |
1194363952 | Lemlem Hailu Gebremeskel | Case Manager/Care Coordinator | 2795 S Cathay Way, Aurora, CO 80013-4774 | 2019-12-11 |
1588209670 | Cgl Cpa, LLC | Case Manager/Care Coordinator | 1420 Kenton St, Aurora, CO 80010-3580 | 2019-11-12 |
1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
1871068882 | Jamila Jemal Ali | Case Manager/Care Coordinator | 15747 E Center Pl, Aurora, CO 80017-2016 | 2018-10-05 |
1982190302 | Marsha Aliaga-dickens | Case Manager/Care Coordinator | 12455 E Mississippi Ave Unit 104, Aurora, CO 80012-3465 | 2018-07-09 |
1871007054 | William Hogeland | Case Manager/Care Coordinator | 13901 E Arkansas Dr, Aurora, CO 80012-5570 | 2017-11-27 |
Find all providers in AURORA |
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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.