CRYSTAL MICHAELA JACKS (NPI# 1285131870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285131870 |
| Entity Type | Individual |
| Full Name | CRYSTAL MICHAELA JACKS |
| Credential | LMFT |
| Practice Address |
1789 S Braddock Ave Ste 350 Pittsburgh PA 15218-1871 |
| Practice Telephone | 4122138425 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000999 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1789 S BRADDOCK AVE STE 350 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15218-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010639 | Caitlin Senk | Counselor | 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 | 2020-07-08 |
| 1144718172 | C Michaela Jacks LLC | Clinic/Center | 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019299 | Just Right Tender Care Agency | Home Health | 2212 Hawthorne Ave, Swissvale, PA 15218 | 2020-09-30 |
| 1164947412 | All About Massage and Wellness, LLC | Social Worker | 1112 S. Braddock Avenue, Suite 301d, Pittsburgh, PA 15218 | 2017-08-08 |
| 1790923019 | Interim Healthcare Hospice of Western Pennsylvania, Inc. | Hospice Care, Community Based | 1789 South Braddock Avenue, Suite 340, Pittsburgh, PA 15218 | 2009-01-23 |
| 1821192303 | Lola Marie Wells | Specialist | Pittsburg Veterans Affairs Medical Centers, University Drive 'c', Pittsburgh, PA 15218 | 2006-09-12 |
| 1922027580 | Michael A. Demoise | Dentist | 7417 Irvine Ave., Pittsburgh, PA 15218 | 2006-07-18 |
| 1346296191 | Cheryl Massimo LLC | Social Worker | 7424 Washington Street, Pittsburgh, PA 15218 | 2006-05-25 |
| 1760616957 | Leah Jessica Herman | Counselor | 1789 South Braddock Avenue, Suite 585 Edgewood Town Centre, Pittsburgh, PA 15218 | 2009-05-04 |
| 1437221371 | Todd C Henkelmann | Physical Therapist | 1789 S. Braddock Ave, Suite 10, Pittsburgh, PA 15218 | 2006-11-15 |
| 1740345446 | Joseph Metz Mazzei | Radiology | 1142 Nevada St, Pittsburgh, PA 15218-1003 | 2006-12-25 |
| 1912157157 | The Environmental Charter School At Frick Park | Local Education Agency (LEA) | 829 Milton St, Pittsburgh, PA 15218-1005 | 2008-09-24 |
| Find all providers in zip 15218 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153391 | Chelsea Mazzotta | Marriage & Family Therapist | 4721 Mcknight Rd Ste 208, Pittsburgh, PA 15237-3415 | 2020-01-14 |
| 1427527902 | Bethanne Petrylak | Marriage & Family Therapist | 201 N Craig St Fl 5, Pittsburgh, PA 15213-1567 | 2018-11-14 |
| 1033699756 | Amanda Cloressa Roberts | Marriage & Family Therapist | 4712 Carriage Dr, Pittsburgh, PA 15236-1957 | 2018-08-21 |
| 1467988568 | Jean Marie Pearce | Marriage & Family Therapist | 219 Edmond St, Pittsburgh, PA 15224-1602 | 2017-05-10 |
| 1518413665 | Audra Jasmine Lee | Marriage & Family Therapist | 2030 Sonny St, Pittsburgh, PA 15221-1520 | 2016-08-29 |
| 1104118736 | Ashley Elizabeth North Cook | Marriage & Family Therapist | 5500 Rippey Pl, Pittsburgh, PA 15206-2806 | 2011-05-16 |
| 1649504895 | Mary Beth Heinrichs | Marriage & Family Therapist | 227 Garland St, Pittsburgh, PA 15218-1611 | 2009-09-21 |
| 1629228325 | Lynne Logan | Marriage & Family Therapist | 1725 Wahington Road, #509, Pittsburgh, PA 15241 | 2008-09-30 |
| 1801059852 | Jennie Elizabeth Geisler | Marriage & Family Therapist | 11524 Frankstown Rd, Pittsburgh, PA 15235-3117 | 2008-07-09 |
| 1942771886 | Alyssa Delvaglio | Marriage & Family Therapist | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2018-12-17 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15218 |
Please comment or provide details below to improve the information on CRYSTAL MICHAELA JACKS.
| 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.