MS. CHRIS JACKSON (NPI# 1316011190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316011190 |
| Entity Type | Individual |
| Full Name | MS. CHRIS JACKSON |
| Credential | MFT |
| Practice Address |
22425 Sunbright Ave Red Bluff CA 96080-9741 |
| Mailing Address |
Po Box 6622 Chico CA 95927-6622 |
| Practice Telephone | 5305282342 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC 39686 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1445 Vista Way, Red Bluff, CA 960804510 | 5305294013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1124366497 | Chris G Jackson | Community Health Worker | 6191 N State Highway 161 Ste 650, Irving, TX 75038-2250 | 2013-01-22 |
| 1336197318 | Chris Edward Jackson | Chiropractor | 2308d Memorial Blvd, Springfield, TN 37172-3929 | 2006-05-04 |
| 1770193526 | Chris Jackson | Respiratory Therapist, Certified | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-06 |
| Street Address |
22425 SUNBRIGHT AVE |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-9741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857075 | Neesha Ray Hammercord | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2020-09-27 |
| 1942869490 | Kuihee Song | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2019-06-09 |
| 1215472428 | Parish Health and Wellness, Inc. | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2016-12-23 |
| 1972764660 | Keith James Barnett | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2008-06-24 |
| 1659549384 | Linda Louise Spyres | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245607340 | Danielle Garrett | Counselor | 2065 Acwron Dr, Red Bluff, CA 96080-4001 | 2015-08-25 |
| 1609010107 | David William Pratt | Counselor | 332 Pine St Ste L, Red Bluff, CA 96080-3312 | 2009-04-28 |
| 1942869490 | Kuihee Song | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2019-06-09 |
| 1588223036 | Amber L Wilson | Counselor | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-06-09 |
| 1417423260 | Erika Ann Miller | Counselor | 818 Main St, Red Bluff, CA 96080-2759 | 2018-10-19 |
| 1083138986 | Jennifer Diane Cordova | Counselor | 590 Antelope Blvd Ste 30b, Red Bluff, CA 96080-2476 | 2017-08-01 |
| 1215472428 | Parish Health and Wellness, Inc. | Counselor | 22425 Sunbright Ave, Red Bluff, CA 96080-9741 | 2016-12-23 |
| 1295180701 | Laura Ann Purcell | Counselor | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2016-05-03 |
| 1952756462 | Patricia Lynn Franks | Counselor | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2016-05-03 |
| 1730547860 | Lillian Abigail Castro | Counselor | 1860 Walnut St Ste A, Red Bluff, CA 96080-3611 | 2016-02-03 |
| Find all providers in RED BLUFF | ||||
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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.