ELIZABETH S JACKSON (NPI# 1376865063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376865063 |
| Entity Type | Individual |
| Full Name | ELIZABETH S JACKSON |
| Credential | LMFT |
| Practice Address |
3007 Washington Blvd Suite 220-i Marina Del Rey CA 90292-5561 |
| Mailing Address |
1015 2nd St #219 Santa Monica CA 90403-3641 |
| Practice Telephone | 3107796180 |
| Mailing Telephone | 3107011371 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2011-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 49765 | CA | 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 |
3007 WASHINGTON BLVD SUITE 220-I |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417189895 | Allan Israel Frankel | Internal Medicine | 3007 Washington Blvd, 110, Marina Del Rey, CA 90292-5561 | 2009-08-18 |
| 1295049336 | Tracy Carmela Halstead | Psychologist | 3007 Washington Blvd, Suite 230b, Marina Del Rey, CA 90292-5561 | 2010-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887884 | James Alexander Holland | Marriage & Family Therapist | 13524 Bali Way # F1216, Marina Del Rey, CA 90292-6915 | 2020-10-01 |
| 1184246464 | Haleh Keypour | Marriage & Family Therapist | 115 Roma Ct, Marina Del Rey, CA 90292-5968 | 2020-05-10 |
| 1871126342 | Alexandra Lippens | Marriage & Family Therapist | 910 Dickson St, Marina Del Rey, CA 90292-5513 | 2020-02-12 |
| 1205379930 | April Wright | Marriage & Family Therapist | 14000 Tahiti Way, P 311, Marina Del Rey, CA 90292-6592 | 2016-11-29 |
| 1841742426 | Eileen Paris | Marriage & Family Therapist | 415 Washington Blvd Apt 1110, Marina Del Rey, CA 90292-5090 | 2016-10-28 |
| 1336690270 | Jasmine Malekan | Marriage & Family Therapist | 13488 Maxella Ave Apt 530, Marina Del Rey, CA 90292-4318 | 2016-10-15 |
| 1962879122 | Eric B Carlson | Marriage & Family Therapist | 4551 Glencoe Ave Ste 255, Marina Del Rey, CA 90292-7924 | 2015-08-24 |
| 1093146946 | Linda Quesada-schlein | Marriage & Family Therapist | 4519 Admiralty Way Ste 206, Marina Del Rey, CA 90292-5428 | 2013-12-03 |
| 1578909586 | Anais Munoz-kelly | Marriage & Family Therapist | 4640 Admiralty Way Ste 318, Marina Del Rey, CA 90292-6637 | 2013-05-16 |
| 1750631180 | California Counseling Center | Marriage & Family Therapist | 4519 Admiralty Way #200, Marina Del Rey, CA 90292-5428 | 2012-09-13 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on ELIZABETH S 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.