KRISTINA JACKSON (NPI# 1447600770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447600770 |
Entity Type | Individual |
Full Name | KRISTINA JACKSON |
Credential | CLC, MSLC |
Practice Address |
5160 Dogwood Trl Eight Mile AL 36613-8505 |
Practice Telephone | 2052673100 |
Mailing Telephone | 2052673100 |
Enumeration Date | 2016-06-17 |
Last Update Date | 2016-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083042345 | Kristina Yvette Jackson | Technician/Technologist | 16770 Pheasant Trail Pl, Strongsville, OH 44136-6369 | 2013-10-24 |
1235616863 | Kristina Jackson | Counselor | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2018-07-26 |
1023477114 | Kristina Jackson | Marriage & Family Therapist | 2309 Pacific Coast Hwy, Suite 102, Hermosa Beach, CA 90254-2751 | 2016-02-17 |
1689010738 | Kristina E Jackson | Family Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2013-05-16 |
1184966087 | Kristina Jackson | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-03-19 |
1225391006 | Kristina Ashley Jackson | Social Worker | 2928 W 36th St, Brooklyn, NY 11224-1410 | 2012-06-18 |
1780990531 | Kristina Janet Jackson | Student in an Organized Health Care Education/Training Program | 1145 Gayley Ave, Suite 322, Los Angeles, CA 90024-3423 | 2010-08-30 |
1558684183 | Kristina Gayle Jackson | Registered Nurse | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2010-03-10 |
1740350586 | Kristina G Jackson | Family Medicine | 480 Maple St, Danvers, MA 01923 | 2006-11-09 |
1821061474 | Kristina M Jackson | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2006-02-13 |
Street Address |
5160 DOGWOOD TRL |
City | EIGHT MILE |
State | AL |
Zip Code | 36613-8505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013567536 | Mari Scott Emanuel | Respiratory Therapist, Certified | 4811 Henry Rd, Eight Mile, AL 36613-2127 | 2019-09-17 |
1497967673 | William Carroll | Specialist/Technologist | 5735 College Parkway, Mobile, AL 36613-2842 | 2007-05-03 |
1750417002 | Encore Rehabilitation Inc | Clinic/Center | 5735 College Pkwy, Encore Rehab At Booth Bldg, Mobile, AL 36613-2842 | 2007-02-23 |
1407327240 | Abigail Bush | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Mobile, AL 36613-2842 | 2018-12-05 |
1356811277 | Samantha Ann Karp | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Mobile, AL 36613-2842 | 2018-12-04 |
1952871816 | Zoe Phillips | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2018-12-04 |
1174093132 | Cheyne Bush | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Mobile, AL 36613-2842 | 2018-12-03 |
1578078770 | Ross G Key | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2017-12-10 |
1013422518 | Allison Renee Gaillard | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2017-12-06 |
1841703691 | Jonathan David Hardy | Specialist/Technologist | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2017-11-14 |
Find all providers in zip 36613 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730710591 | Geoffrey Blake | Counselor | 24682 Chantilly Ln, Daphne, AL 36526-8730 | 2020-01-30 |
1306309398 | Shaletta Borders | Counselor | 488 Marvin Parker Rd, Ozark, AL 36360-7204 | 2019-04-08 |
1194295832 | Joe Mack Bankhead | Counselor | 7199 Beaver Creek Rd, Sulligent, AL 35586-4603 | 2018-11-26 |
1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
1043696743 | Elaine G. Rasco, Lpc, LLC | Counselor | 4268 Cahaba Heights Ct Ste 190, Vestavia, AL 35243-5711 | 2015-08-04 |
1356788913 | Jesse Reece Mitchell | Counselor | 149 Academy Dr, Hamilton, AL 35570-3015 | 2013-05-22 |
1508175498 | Betty Jo Penton | Counselor | 103 W Tuskeena St, Wetumpka, AL 36092-2420 | 2010-09-27 |
1801114780 | Pine Hill Counseling and Consulting, LLC | Counselor | 600 Boulevard South Sw, Suite 104, Huntsville, AL 35802-2113 | 2010-05-17 |
1073845145 | Peggy Sanderford Ponder | Counselor | 2117 University Blvd, Birmingham, AL 35233-3107 | 2010-02-01 |
1043456981 | Jacky Beck | Counselor | 1511a Rainbow Dr, Gadsden, AL 35901-5370 | 2008-12-24 |
Find all providers with the same taxonomy |
City | EIGHT MILE |
Zip Code | 36613 |
Please comment or provide details below to improve the information on KRISTINA 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.