PAMELA ANN JACKSON (NPI# 1265948194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265948194 |
| Entity Type | Individual |
| Full Name | PAMELA ANN JACKSON |
| Credential | CRADC |
| Practice Address |
106 S Independence St Harrisonville MO 64701-2348 |
| Mailing Address |
1706 New Castle Dr Harrisonville MO 64701-1364 |
| Practice Telephone | 8168137533 |
| Practice Fax Number | 8168137533 |
| Mailing Telephone | 8168137533 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 7780 | MO | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9827 | MO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1013482439 | Pamela Kenna Jackson | Driver | 22 Hope Ln, Elizabethport, NJ 07206-1833 | 2018-10-12 |
| 1629503693 | Pamela Jackson | Homemaker | 47 Sunny Ln, B, South Lebanon, OH 45065-1431 | 2017-04-26 |
| 1417320995 | Pamela Elaine Jackson | Counselor | 7200 Bancroft Ave Ste 176, Oakland, CA 94605-2411 | 2015-11-05 |
| 1134384498 | Pamela Jackson | Licensed Practical Nurse | 2273 Rolling Hills Blvd, Fairfield, OH 45014-3760 | 2008-07-25 |
| 1518141704 | Pamela L. Jackson | Counselor | 190 Marchand Dr, Apartment 1, Westover, WV 26501-3895 | 2007-12-24 |
| 1356464309 | Pamela Sue Jackson | Music Therapist | 1540 Colorado Ave, Canon City, CO 81212-4511 | 2007-04-06 |
| 1467522250 | Pamela Sue Jackson | Social Worker | 17 W Water St, Pinckneyville, IL 62274-1027 | 2006-11-08 |
| 1699851931 | Pamela Taylor Jackson | Nurse Practitioner | 226 Louisiana Ave, Opelousas, LA 70570-3346 | 2006-10-30 |
| 1568558096 | Pamela S Jackson | Registered Nurse | 3299 Tower Rd, Newburgh, IN 47630-8301 | 2006-10-04 |
| Street Address |
106 S INDEPENDENCE ST |
| City | HARRISONVILLE |
| State | MO |
| Zip Code | 64701-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1972154300 | Amanda Wilkes | Counselor | 105c W Wall St, Harrisonville, MO 64701 | 2019-09-26 |
| 1740762806 | John Curtis Burton | Optometrist | 2100 E. Mechanic Street, Harrisonville, MO 64701 | 2018-09-05 |
| 1629595368 | Megan Elizabeth Griffin | Speech-Language Pathologist | 503 S. Lexington St, Harrisonville, MO 64701 | 2017-08-24 |
| 1073853586 | Lon Roland Tracy | Dentist | 300 S. Independence Street, Harrisonville, MO 64701 | 2013-02-20 |
| 1932491396 | Leesa Bowman | Occupational Therapist | 2001 Jefferson Pkwy, Harrisonville, MO 64701 | 2011-05-04 |
| 1952543894 | Sarah Sharp | Chiropractor | 207 E Wall St., Harrisonville, MO 64701 | 2009-03-24 |
| 1386833788 | Elaine Boyd | Nurse Practitioner | 300 Galaxie Ave., Harrisonville, MO 64701 | 2007-10-22 |
| 1093920639 | Serc of Harrisonville, L.L.C. | Durable Medical Equipment & Medical Supplies | 815 Westchester Avenue, Harrisonville, MO 64701 | 2007-05-14 |
| Find all providers in zip 64701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926927 | Alison G. Whitaker | Counselor | 105 W Wall St Ste C, Harrisonville, MO 64701-2355 | 2020-03-09 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1841732831 | Alissa Louise Baker | Counselor | 2819 Cantrell Rd, Harrisonville, MO 64701-4006 | 2016-11-08 |
| 1184225518 | Anna Roberts | Counselor | 306 S Independence St, Harrisonville, MO 64701-2352 | 2020-11-03 |
| 1194366344 | Megan Seiber | Counselor | 306 S Independence St, Harrisonville, MO 64701-2352 | 2019-09-30 |
| 1477112696 | Michael Angel | Counselor | 306 S Independence St, Harrisonville, MO 64701-2352 | 2019-06-11 |
| 1801455324 | Wendy Marie Hamrick | Counselor | 202 E Pearl St, Harrisonville, MO 64701-1848 | 2019-06-08 |
| 1134199805 | Kathleen G Grose | Counselor | 300 Galaxie Ave, Harrisonville, MO 64701-2084 | 2006-01-25 |
| 1720066533 | Constance Pasley | Counselor | 300 Galaxie Ave, Harrisonville, MO 64701-2084 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1386267227 | Paula Coyote Schaaf | Counselor | 1924 Van Brunt Blvd, Kansas City, MO 64127-2999 | 2020-05-27 |
| 1275156382 | Rebecca King | Counselor | 5407 Bagnall Dr, Jefferson City, MO 65109-0484 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | HARRISONVILLE |
| Zip Code | 64701 |
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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.