MR. IAN JACKSON (NPI# 1356865943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356865943 |
| Entity Type | Individual |
| Full Name | MR. IAN JACKSON |
| Credential | LMHC |
| Practice Address |
915 Middle River Dr Ste 103c Fort Lauderdale FL 33304-3559 |
| Mailing Address |
9050 Jacaranda Ln Apt 1 Plantation FL 33324-3609 |
| Practice Telephone | 9085650866 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
14930 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326602459 | Ian Patrick Jackson | Student in an Organized Health Care Education/Training Program | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-04-24 |
| 1841798873 | Ian Jackson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-01-24 |
| 1780191932 | Ian Jackson | Behavior Technician | 6200 Sw Arctic Dr, Beaverton, OR 97005-9447 | 2018-01-09 |
| 1598084691 | Ian Andrew Jackson | Family Medicine | 5515 Cleveland Ave, Stevensville, MI 49127-9670 | 2010-05-28 |
| 1821096736 | Ian Thomas Jackson | Specialist | 26850 Providence Pkwy, Ste 205, Novi, MI 48374-1213 | 2005-07-13 |
| Street Address |
915 MIDDLE RIVER DR STE 103C |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1871192203 | Kamari L Pasley | Counselor | 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 | 2020-10-17 |
| 1134746829 | Chinyere Tunsill | Counselor | 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 | 2020-06-29 |
| 1750906848 | Darcy Holm | Counselor | 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 | 2020-06-15 |
| 1356977078 | Herz Counseling Group, LLC | Counselor | 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 | 2020-03-13 |
| 1558997346 | Paulina Scaturro | Counselor | 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 | 2020-03-12 |
| 1144855925 | Victoria Baca | Counselor | 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 | 2020-03-11 |
| 1184254476 | Shaira A. Shah | Counselor | 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 | 2020-01-25 |
| 1194364893 | Jennifer Tiech | Counselor | 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 | 2019-12-27 |
| 1205475167 | Tara Yombor | Counselor | 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 | 2019-12-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on MR. IAN JACKSON.
| 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.