ELIZABETH JACKSON (NPI# 1366078800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366078800 |
| Entity Type | Individual |
| Full Name | ELIZABETH JACKSON |
| Practice Address |
4902 S Cedar St Lansing MI 48910-5474 |
| Practice Telephone | 5173947867 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1649694233 | Elizabeth Arlene Jackson | Counselor | 922 12th St, Rawlins, WY 82301-6517 | 2014-02-18 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| Street Address |
4902 S CEDAR ST |
| City | LANSING |
| State | MI |
| Zip Code | 48910-5474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891725214 | Denise Marie Warren | Obstetrics & Gynecology | 4902 S Cedar St, Lansing, MI 48910-5474 | 2006-07-03 |
| 1891306494 | Daniel Adrian Casey | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2020-08-17 |
| 1699386847 | Isabella Stycos | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2020-08-12 |
| 1942821830 | Brittany Marie Stob | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2020-05-01 |
| 1538780861 | Alyssa Lyons | Social Worker | 4902 S Cedar St, Lansing, MI 48910-5474 | 2020-04-28 |
| 1508402157 | Keeva Smith | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2019-11-19 |
| 1912540055 | Heather Kay Caldwell | Social Worker | 4902 S Cedar St, Lansing, MI 48910 | 2019-10-22 |
| 1992350227 | Lori Dowdy | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2019-08-05 |
| 1609339431 | Katelyn Hose | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2019-04-09 |
| 1508336090 | Nicole Marie Linton | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1285290320 | Samantha Rose Rios | Counselor | 907 Robins Rd, Lansing, MI 48917-3110 | 2019-05-14 |
| 1922581420 | Jahan Farzam | Counselor | 4012 S Cedar St, Lansing, MI 48910-4506 | 2018-09-11 |
| 1306349857 | Anna Elizabeth Foerster | Counselor | 1801 E Saginaw St Ste 6a, Lansing, MI 48912-2326 | 2018-03-12 |
| 1598271561 | Stacey Malinoski | Counselor | 913 W Holmes Rd Ste 200, Lansing, MI 48910-0426 | 2017-12-28 |
| 1316480569 | Red Cedar Clinic | Counselor | 2025 S. Wasington Ave. Suite 210, Lansing, MI 48910-0828 | 2016-11-21 |
| 1285049957 | Paul Andrew Lepley | Counselor | 835 W Genesee St, Lansing, MI 48915-1840 | 2014-06-21 |
| 1174941157 | Debra J. Farrell | Counselor | 612 S Creyts Rd Ste B, Lansing, MI 48917-8266 | 2014-04-07 |
| 1073860474 | Demetria L Bennett | Counselor | 516 S. Creyts Rd, Suite F, Lansing, MI 48917-8268 | 2012-08-06 |
| 1306114814 | Dolores Jean Miller | Counselor | 3410 Old Lansing Rd, Lansing, MI 48917-4392 | 2011-12-12 |
| Find all providers in LANSING | ||||
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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.