CAROL A JACKSON (NPI# 1376826693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376826693 |
| Entity Type | Individual |
| Full Name | CAROL A JACKSON |
| Practice Address |
110 Paseo Del Canon W Taos NM 87571-6743 |
| Practice Telephone | 5757796138 |
| Mailing Telephone | 5757796138 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
090906 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660741 | Carol Ann Jackson | Technician | 1310 Jackson Ave, Friona, TX 79035-1322 | 2018-02-22 |
| 1033533351 | Carol Wesslyn Jackson | Case Manager/Care Coordinator | 10150 Celia Berryhill Rd, Okmulgee, OK 74447-9013 | 2014-02-06 |
| 1154601409 | Carol Frances Jackson | Case Manager/Care Coordinator | 3948 Mt. View Drive, Anchorage, AK 99508 | 2011-08-18 |
| 1457567265 | Carol Mackenzie Jackson | Physician Assistant | 1331 E. Wyoming Avenue, Cancer Treatment Centers of America/eastern Regional Me, Philadelphia, PA 19124 | 2007-05-16 |
| 1801002720 | Carol Dashiell Jackson | Acupuncturist | 4100 Avenue G, Austin, TX 78751-4710 | 2007-05-15 |
| 1467420083 | Carol Diane Jackson | Nurse Practitioner | 712 First Terrace, #200, Lansing, KS 66043-1735 | 2006-03-09 |
| 1538164827 | Carol Jean Jackson | Physical Therapist | 100 N 1st St Ste 103, Step Ahead Physical Therapy, Burbank, CA 91502-1845 | 2005-06-14 |
| 1639674070 | Carol Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-03-28 |
| 1306287966 | Carol Anne Jackson | Behavioral Analyst | 1410 14th St, Plano, TX 75074-6302 | 2013-07-11 |
| 1003259029 | Carol Ann Jackson | Licensed Vocational Nurse | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2013-04-09 |
| Street Address |
110 PASEO DEL CANON W |
| City | TAOS |
| State | NM |
| Zip Code | 87571-6743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063795334 | Cobey Senescu | Social Worker | 110 Paseo Del Canon W, Taos, NM 87571-6743 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538419841 | John Michael Walsh | Psychologist | 310 Camino De La Placita, Taos, NM 87571-5951 | 2012-09-13 |
| 1952652869 | Bonnie Lee Compton | Psychologist | 310 Camino De La Placita, Taos, NM 87571-5951 | 2012-10-02 |
| 1164585741 | Julie L Schumpelt | Psychologist | 213 Paseo Del Canon E, Taos, NM 87571-6239 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703701 | Cara Jean Burrola | Psychologist | 1111 Capitan St Nw, Los Lunas, NM 87031-6909 | 2020-09-08 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1003384181 | Patricia Keeler | Psychologist | # 50 County Rd. 13, Cuba, NM 87013 | 2018-11-07 |
| 1427562107 | Tascha Just | Psychologist | 1 Sunlit Dr E, Santa Fe, NM 87508-8993 | 2017-11-16 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1477004281 | Ciarra Marrufo | Psychologist | 1100 W Bullock Ave, Artesia, NM 88210-2342 | 2016-10-17 |
| 1346697026 | Mary E. Sawyers, Ma, Lpcc | Psychologist | 1200 N White Sands Blvd Ste 118, Alamogordo, NM 88310-6774 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
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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.