KIMBERLY ANN JACKSON (NPI# 1396159216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396159216 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN JACKSON |
| Credential | LPCC |
| Practice Address |
36 S 18th Ave Ste D3 Brighton CO 80601-2452 |
| Mailing Address |
16587 Leyden St Brighton CO 80602-6058 |
| Practice Telephone | 5032500510 |
| Mailing Telephone | 5032500510 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0013863 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951394 | Kimberly Sue Jackson | Home Health Aide | 26 W Warner Rd, Coventry Township, OH 44319-1732 | 2020-10-29 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1184244063 | Kimberly Jackson | Music Therapist | 121 Koeppe Dr, Sequim, WA 98382-9489 | 2020-04-21 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1386188332 | Kimberly Jackson | Dietitian, Registered | 2318 Longcourt Way Se, Atlanta, GA 30339-0902 | 2016-12-10 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1639535719 | Kimberly Renee Jackson | Massage Therapist | 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 | 2016-01-05 |
| 1275934887 | Kimberly Jackson | Counselor | 213 Barrett St, Wilmington, DE 19802-2004 | 2014-09-15 |
| 1972930279 | Kimberly Jackson | Nurse's Aide | 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 | 2013-10-01 |
| Street Address |
36 S 18TH AVE STE D3 |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154627545 | Valerie Jean Bye Wolfe | Counselor | 36 S 18th Ave Ste D3, Brighton, CO 80601-2452 | 2011-02-01 |
| 1245539014 | Riverdale Counseling Center, Inc. | Counselor | 36 S 18th Ave Ste D3, Brighton, CO 80601-2452 | 2011-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093367609 | Diane Duan | Counselor | 2013 Commonwealth Ave Apt 1r, Brighton, MA 02135-5139 | 2019-07-13 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1730626268 | Caitlin Ward Iv | Counselor | 14 Donnybrook Rd, Brighton, MA 02135-1807 | 2017-01-23 |
| 1598217580 | Danielle Rant | Counselor | 15 Falkland St # A, Brighton, MA 02135-1808 | 2016-10-26 |
| 1730630732 | Matthew Robbins | Counselor | 2031 Commonwealth Ave, Brighton, MA 02135-5173 | 2016-10-14 |
| 1912358938 | Sable Alexandre' Smith | Counselor | 98 Litchfield St, Brighton, MA 02135-1233 | 2016-06-30 |
| 1487014205 | Manon Ellsworth | Counselor | 36 S 18th Ave Ste D2, Brighton, CO 80601-2452 | 2016-03-07 |
| 1124496294 | Molly Wadlinger | Counselor | 38 Lake Shore Ter Apt 4, Brighton, MA 02135-6338 | 2015-09-08 |
| 1588051908 | Bryan King | Counselor | 36 Faneuil St, Brighton, MA 02135-1944 | 2015-04-23 |
| 1780006676 | Poetry of Life Counseling Services | Counselor | 36 South 18th Ave, D-3, Brighton, CO 80601-4291 | 2014-01-10 |
| Find all providers in BRIGHTON | ||||
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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.