MELISSA JACKSON (NPI# 1356968739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356968739 |
| Entity Type | Individual |
| Full Name | MELISSA JACKSON |
| Credential | AMFT |
| Practice Address |
129 E Center St Ste 3 Manteca CA 95336-4648 |
| Mailing Address |
1407 Irwin Ave Escalon CA 95320-8701 |
| Practice Telephone | 2092395553 |
| Mailing Telephone | 2093736691 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298655 | Melissa Marie Jackson | Registered Nurse | 456 W 68th St, Kansas City, MO 64113-1919 | 2018-09-10 |
| 1891235933 | Melissa Jackson | Marriage & Family Therapist | 202 W Manchester Ave, Playa Del Rey, CA 90293-7710 | 2017-03-07 |
| 1881086577 | Melissa Jackson | Dentist | 2539 S Columbia Pl, Tulsa, OK 74114-3232 | 2015-03-04 |
| 1346645231 | Melissa Rene Jackson | Advanced Practice Midwife | 2744 Ewing Ave S, Minneapolis, MN 55416-4213 | 2014-11-04 |
| 1992048482 | Melissa Michelle Jackson | Speech-Language Pathologist | 707 Marie Ave, Ruston, LA 71270-2715 | 2013-04-03 |
| 1033471065 | Melissa Anne Jackson | Specialist | 3133 Broadway Apt 1, New York, NY 10027-4617 | 2012-06-14 |
| 1538439112 | Melissa Jackson | Spec/Tech, Pathology | 1820 California St Nw, 41, Washington, DC 20009-1824 | 2012-01-12 |
| 1609145184 | Melissa Rena Jackson | Counselor | 11541 Village Ave, Midwest City, OK 73130-8207 | 2011-12-29 |
| 1497064695 | Melissa Lousie Jackson | Neuromusculoskeletal Medicine, Sports Medicine | 4 Victory Ln, Scarborough, ME 04074-8486 | 2010-10-05 |
| 1528224219 | Melissa Jackson | Psychiatry & Neurology | 3250 Ne 1st Ave, Suite 317, Miami, FL 33137-4191 | 2008-08-01 |
| Street Address |
129 E CENTER ST STE 3 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871642025 | Jennifer Annette Bordenave | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2007-01-09 |
| 1891343422 | Carissa Groen | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2019-08-27 |
| 1265094627 | Casara Lynn Collins | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2019-07-05 |
| 1770093494 | Stefani Coleman | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2017-10-08 |
| 1134540362 | Raven Royal | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2013-12-13 |
| 1407299738 | Rosemary Cervantes | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2013-04-17 |
| 1851652119 | Mysa Ghareeb | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2012-06-04 |
| 1497016745 | Crystal Cadena | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2012-06-04 |
| 1801028022 | Teresa Ann Kellstrom | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2009-08-20 |
| 1497979256 | Patricia Adele Goodman | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841777125 | Guadalupe Rios Valadez | Counselor | 302 Cherry Ln Ste 201, Manteca, CA 95337-4311 | 2018-07-19 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1679189724 | Ifeanyi Jimmy | Counselor | 302 Cherry Ln, Manteca, CA 95337-4311 | 2020-09-23 |
| 1124632393 | Alexus Plascencia | Counselor | 302 Cherry Ln Ste 201, Manteca, CA 95337-4311 | 2020-09-03 |
| 1508497744 | Mahlia Saturno | Counselor | 302 Cherry Ln, Manteca, CA 95337-4311 | 2020-01-27 |
| 1578193652 | Eric Daniel Williams | Counselor | 302 Cherry Ln Ste 201, Manteca, CA 95337-4311 | 2020-01-17 |
| 1073143095 | Angela Jean Brunton | Counselor | 302 Cherry Ln Ste 201, Manteca, CA 95337-4311 | 2020-01-17 |
| 1083098859 | Jeremiah David Sisco-asencio II | Counselor | 401 S Airport Way, Manteca, CA 95337-8426 | 2015-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
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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.