JULIE JACKSON (NPI# 1427561455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427561455 |
| Entity Type | Individual |
| Full Name | JULIE JACKSON |
| Credential | LPCC |
| Practice Address |
1385 Mendota Heights Rd Ste 200 Mendota Heights MN 55120-1289 |
| Practice Telephone | 6513799800 |
| Mailing Telephone | 6513799800 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC01638 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CC01638 | 05 | |
| MN | INSURANCE PROVIDERS | CC01638 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1962031070 | Julie Marie Jackson | Licensed Vocational Nurse | 3518 Vzcr 2602, Willspoint, TX 75169 | 2020-04-02 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1902315732 | Julie Jackson | Nutritionist | 5792 Drakes Dr, Discovery Bay, CA 94505-9380 | 2017-09-25 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1568892073 | Julie Jackson | Nurse Practitioner | University of Cincinnati Academic Health Ctr, 231 Albert Sabin Way, Suite 1358, Cincinnati, OH 45267-0769 | 2013-11-19 |
| 1629204706 | Julie Anna Jackson | Behavioral Analyst | 14905 Foxhound Pl, Tampa, FL 33624-2124 | 2009-06-03 |
| 1689702128 | Julie D Jackson | Physical Therapist | 2750 Mount Pleasant St # 104, Burlington, IA 52601-2136 | 2007-02-28 |
| 1760485106 | Julie Ann Jackson | Optometrist | 11927 Cobblestone Dr, Houston, TX 77024-5053 | 2005-05-31 |
| Street Address |
1385 MENDOTA HEIGHTS RD STE 200 |
| City | MENDOTA HEIGHTS |
| State | MN |
| Zip Code | 55120-1289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902876188 | Patricia J Rogers | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2006-01-23 |
| 1851928956 | Lindsay Hjermstad | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2020-03-26 |
| 1548721079 | Lauren Andrea Maccoux Kizaur | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2019-03-27 |
| 1023587771 | Kaitlin Salscheider | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-11-23 |
| 1780174938 | Rachel Lauren Henly | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-05-14 |
| 1699263061 | Brianna Lynn Nelson | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-05-01 |
| 1477076966 | Cecily Rentz | Counselor | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-07-17 |
| 1215459292 | Madeline Giacomino Falk | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-07-12 |
| 1558714956 | David Karlson | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2016-07-20 |
| 1538542246 | Lori Ann Wagner | Counselor | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2015-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558844 | Sarah Engeswick Borger | Counselor | 1370 Mendota Heights Road, Mendota Heights, MN 55120 | 2020-08-10 |
| 1164916516 | Cassandra Johnson | Registered Nurse | 2486 Pond Circle West, Mendota Heights, MN 55120 | 2018-06-19 |
| 1215428271 | Mendakota Chiropractic, Pllc | Chiropractor | 776 North Plaza Drive, Mendota Heights, MN 55120 | 2018-05-25 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1114214103 | Jennifer Lyn Irene O'neill | Psychologist | 1150 Centre Pointe Curve, Mendota Heights, MN 55120 | 2011-06-29 |
| 1811157092 | Sonya Michelle Calgren | Social Worker | 1385 Mendota Heights Rd Ste. 200, Mendota Heights, MN 55120 | 2008-06-11 |
| 1720172802 | Luke Phillip Spiegelhoff | Social Worker | 1385 Mendota Heights Rd. Ste 200, Mendota Heights, MN 55120 | 2006-10-03 |
| 1750679262 | American Current Care Pa | Clinic/Center | 2520 Pilot Knob Rd, Mendota Heights, MN 55120 | 2011-07-18 |
| 1689712101 | Todd Michael Peter | Chiropractor | 750 Highway 110, Ste 13, Mendota Hgts, MN 55120 | 2007-02-05 |
| 1497893911 | Peter Family Chiropractic | Chiropractor | 750 Highway 110, Ste 13, Mendota Hgts, MN 55120 | 2007-02-05 |
| Find all providers in zip 55120 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558844 | Sarah Engeswick Borger | Counselor | 1370 Mendota Heights Road, Mendota Heights, MN 55120 | 2020-08-10 |
| 1922491703 | Alicia Ann Exsted | Counselor | 1370 Mendota Heights Rd, Mendota Heights, MN 55120-1281 | 2015-03-18 |
| 1205056868 | Linda Santa Cruz | Counselor | 1385 Mendota Heights Rd, Suite 200, Mendota Heights, MN 55120-1368 | 2007-04-26 |
| 1841815099 | Rebecca Anne Venier | Counselor | 1370 Mendota Heights Rd, Mendota Heights, MN 55120-1281 | 2020-06-13 |
| 1477076966 | Cecily Rentz | Counselor | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-07-17 |
| 1538542246 | Lori Ann Wagner | Counselor | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2015-06-30 |
| 1891046819 | Sheryl Ruth Rorvig | Counselor | 1150 Centre Pointe Curv, Mendota Heights, MN 55120-1280 | 2012-10-01 |
| 1316062276 | Martha Miller Franke | Counselor | 750 S Plaza Dr, Suite 209, Mendota Heights, MN 55120-1508 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | MENDOTA HEIGHTS |
| Zip Code | 55120 |
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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.