SHANNA DAWN JACKSON (NPI# 1265657910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265657910 |
| Entity Type | Individual |
| Full Name | SHANNA DAWN JACKSON |
| Credential | MS, LPC |
| Practice Address |
1900 Century Pl Ne Ste 200 Atlanta GA 30345-4307 |
| Mailing Address |
1373 Iverson St Ne Atlanta GA 30307-2076 |
| Practice Telephone | 4049349957 |
| Practice Fax Number | 4042545871 |
| Mailing Telephone | 4042542847 |
| Mailing Fax Number | 4042545871 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004052 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922492594 | Shanna Jackson | Counselor | 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 | 2015-03-23 |
| 1710506472 | Shanna Shaneen Jackson | Registered Nurse | 12815 Heacock St, Moreno Valley, CA 92553-2836 | 2020-04-13 |
| 1154845055 | Shanna Marie Jackson | Chiropractor | 105 E Main St, Bullard, TX 75757-5345 | 2017-08-01 |
| 1710197769 | Shanna Jackson | Technician, Other | 474 W 200 N, Suite 100, St George, UT 84770-4505 | 2007-05-22 |
| Street Address |
1900 CENTURY PL NE STE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205984069 | Myles Hassler | Counselor | 1900 Century Pl Ne, Ste. 200, Atlanta, GA 30345-4307 | 2007-01-08 |
| 1710217658 | Wmh Professional Counseling & Assessment Services, Inc. | Counselor | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2009-12-27 |
| 1306089370 | Kathryn Thodeson | Counselor | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2009-04-07 |
| 1386894806 | Stephen B Harris | Social Worker | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2008-09-19 |
| 1154520484 | Susan J Wachler | Social Worker | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2007-07-17 |
| 1073719647 | J. Hal Rogers, Ph.d., P.C. | Psychologist | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2007-06-21 |
| 1497958847 | Sandra Hale | Counselor | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2007-06-05 |
| 1558571372 | Gordon Edward Tuttle | Psychologist | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2007-05-23 |
| 1417088337 | Lisa Angert Morris | Counselor | 1900 Century Pl Ne, Suite 200, Atlanta, GA 30345-4307 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
| 1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
| 1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
| 1386254761 | Jocelyn Patterson Mosley | Counselor | 2030 Gramercy Cir, Atlanta, GA 30341-1779 | 2020-07-31 |
| 1205444718 | Vanessa Lorraine Elizabeth Johnson | Counselor | 1388 Gates Cir Se, Atlanta, GA 30316-4092 | 2020-07-21 |
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
| 1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
| 1912522582 | Dorian Ellis | Counselor | 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 | 2020-06-10 |
| Find all providers in ATLANTA | ||||
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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.