MARCIA JACKSON (NPI# 1427358555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427358555 |
| Entity Type | Individual |
| Full Name | MARCIA JACKSON |
| Credential | MFT, OTR/L |
| Practice Address |
3521 W Broward Blvd Fl 3 Fort Lauderdale FL 33312-1048 |
| Mailing Address |
3521 W Broward Blvd Fl 3 Ft Lauderdale FL 33312-1048 |
| Practice Telephone | 9545871008 |
| Practice Fax Number | 9545870080 |
| Mailing Telephone | 9545871008 |
| Mailing Fax Number | 9545870080 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 000 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457919979 | Marcia Jackson | Social Worker | 1512 Stevens Ct, North Aurora, IL 60542-1783 | 2019-05-30 |
| 1326483306 | Marcia Dawn Jackson | Licensed Practical Nurse | 5712 Avenue H, 1st Floor, Brooklyn, NY 11234-1911 | 2013-05-06 |
| 1912514043 | Marcia Jackson | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-23 |
| 1346358330 | Marcia Plant Jackson | Nurse Practitioner | 8102 Clearvista Pkwy, Fairbanks, Indianapolis, IN 46256 | 2006-08-29 |
| Street Address |
3521 W BROWARD BLVD FL 3 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558670976 | Gaston Luis Bustos | Counselor | 3521 W Broward Blvd Fl 3, Fort Lauderdale, FL 33312-1048 | 2010-10-04 |
| 1659601847 | Maria Cordero | Counselor | 3521 W Broward Blvd Fl 3, Fort Lauderdale, FL 33312-1048 | 2010-01-11 |
| 1861669673 | Bertha Janina Giron | Counselor | 3521 W Broward Blvd Fl 3, Fort Lauderdale, FL 33312-1048 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1316548365 | New Leaf Therapy, LLC | Marriage & Family Therapist | 2331 Nw 69th Ct, Fort Lauderdale, FL 33309-1438 | 2020-11-05 |
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1679037667 | Christopher Garcia | Marriage & Family Therapist | 1721 Se 4th Ave, Fort Lauderdale, FL 33316-2515 | 2019-01-24 |
| 1083104210 | Thrive Therapy Institute | Marriage & Family Therapist | 3590 Nw 54th St Ste 3, Fort Lauderdale, FL 33309-6366 | 2018-05-14 |
| 1679928600 | The Community, LLC | Marriage & Family Therapist | 201 Ne 2nd St, Fort Lauderdale, FL 33301-1037 | 2016-04-27 |
| 1174994065 | Katherine Fernandez | Marriage & Family Therapist | 1040 Bayview Dr Ste 110, Fort Lauderdale, FL 33304-2532 | 2015-10-18 |
| 1306261144 | Lisa Seid | Marriage & Family Therapist | 3038 N Federal Hwy Uppr F2, Fort Lauderdale, FL 33306-1436 | 2014-03-04 |
| 1417212804 | Conference of Christian Pastors and Ministers, Inc | Marriage & Family Therapist | 2699 Stirling Rd Ste A106, Fort Lauderdale, FL 33312-6543 | 2012-07-11 |
| 1497029573 | Bet Shaddinger | Marriage & Family Therapist | 915 Middle River Dr Ste 201, Fort Lauderdale, FL 33304-3559 | 2012-03-07 |
| 1780825661 | The Community, LLC | Marriage & Family Therapist | 16 Ne 4th St, Suite 130, Fort Lauderdale, FL 33301-3262 | 2009-03-23 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on MARCIA 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.