MR. COURTNEY LARESIC JACKSON (NPI# 1417076241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417076241 |
Entity Type | Individual |
Full Name | MR. COURTNEY LARESIC JACKSON |
Practice Address |
608 10th St Sacramento CA 95814-0712 |
Mailing Address |
3372 Rivermont St West Sacramento CA 95691-5443 |
Practice Telephone | 9164412933 |
Mailing Telephone | 9163719338 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891394938 | Courtney Jackson | Technician | 497 Candlestick Ct Apt B, Galloway, OH 43119-9216 | 2020-10-20 |
1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
1912318429 | Courtney Jackson | Technician | 4134 Woodmont Dr, Houston, TX 77045-3330 | 2014-05-19 |
1760814396 | Courtney Danielle Jackson | Counselor | 534 E Basin St, Norristown, PA 19401-4068 | 2013-08-06 |
1487930723 | Courtney Jackson | Specialist/Technologist | 19424 Fallow Ln, Edinburg, TX 78542-1038 | 2011-11-01 |
1689824302 | Courtney Brooke Jackson | Naturopath | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2008-09-30 |
1063606846 | Courtney Lara Jackson | Counselor | 1801 Vincente St, San Francisco, CA 94116-2923 | 2007-09-05 |
1164029245 | Courtney Jackson | Speech-Language Pathologist | 65 Court St, Brooklyn, NY 11201-4916 | 2020-10-02 |
1457966509 | Courtney Tamara Jackson | Nurse Practitioner | 407 Cowart Ave, Valdosta, GA 31602-2635 | 2020-09-14 |
1013533926 | Courtney Marie Jackson | Family Medicine | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2020-06-17 |
Street Address |
608 10TH ST |
City | SACRAMENTO |
State | CA |
Zip Code | 95814-0712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598868663 | Pamela F Helm | Counselor | 608 10th St, Sacramento, CA 95814-0712 | 2006-09-06 |
1598088452 | Melissa Pena | Counselor | 608 10th St, Sacramento, CA 95814-0712 | 2010-03-08 |
1598098675 | Mauricio Esteban Verduzco | Counselor | 608 10th St, Sacramento, CA 95814-0712 | 2009-09-08 |
1306029368 | Don Paul Cooney | Case Manager/Care Coordinator | 608 10th St, Sacramento, CA 95814-0712 | 2007-12-13 |
1093904765 | Duane Kenney Neumeier | Case Manager/Care Coordinator | 608 10th St, Sacramento, CA 95814 | 2007-10-18 |
1841488046 | Nicole Simone Walker | Case Manager/Care Coordinator | 608 10th St, Sacramento, CA 95814-0712 | 2007-10-12 |
1740486596 | Carolyn Nevaoun Bussell | Licensed Vocational Nurse | 608 10th St, Sacramento, CA 95814-0712 | 2007-06-26 |
1730307034 | Aracely Villa | Counselor | 608 10th St, Sacramento, CA 95814-0712 | 2007-04-23 |
1538280813 | Laquisha Simone Spagner | Case Manager/Care Coordinator | 608 10th St, Sacramento, CA 95814-0712 | 2007-04-03 |
1972622736 | El Hogar Inc | Case Management | 608 10th St, Sacramento, CA 95814-0712 | 2007-03-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
1306269667 | First Advocate Home Care | In Home Supportive Care | 1215 K Street, 17th Floor, Sacramento, CA 95814 | 2014-01-22 |
1063752350 | Brian C. Steele Dds A Professional Corporation | Dentist | 1105 E Street, Sacramento, CA 95814 | 2013-02-22 |
1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
1407117823 | Richard Lee Bauer | Internal Medicine | 651 I St., Sacramento, CA 95814 | 2012-06-01 |
1851669949 | Heaaring Healthcare Provider of California | Audiologist | One Capitol Mall, Suite 320, Sacramento, CA 95814 | 2011-12-05 |
1114254935 | Robert D Canning | Psychologist | 501 J Street, Suite 530, California Department of Corrections & Rehabilitation, Sacramento, CA 95814 | 2009-11-16 |
1407035488 | Donald Herbert Hodges | Case Manager/Care Coordinator | 1420 E Street Apt # B, Sacramento, CA 95814 | 2007-10-26 |
1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
Find all providers in zip 95814 |
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 |
---|---|---|---|---|
1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95814 |
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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.