BRIDGET LASHUWN JACKSON


Address: 416 Sw Lawler Ave, Port St Lucie, FL 34953-3882
Phone: 7543664255

BRIDGET LASHUWN JACKSON (NPI# 1447737655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447737655
Entity Type Individual
Full Name BRIDGET LASHUWN JACKSON
Credential RMHCI
Practice Address 416 Sw Lawler Ave
Port St Lucie
FL 34953-3882
Practice Telephone 7543664255
Mailing Telephone 7543664255
Enumeration Date 2018-07-20
Last Update Date 2018-07-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers BRIDGET JACKSON

NPI Name Taxonomy Address Enumeration
1932643376 Bridget P Jackson Physician Assistant 1606 N 7th St, Terre Haute, IN 47804-2706 2016-12-04
1518226737 Bridget Jackson Social Worker 13791 E Rice Pl, Aurora, CO 80015-1057 2012-05-08

Office Location

Street Address 416 SW LAWLER AVE
City PORT ST LUCIE
State FL
Zip Code 34953-3882

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033733720 Paul Desantis Optometrist 1805 Gatlin Blvd, Port St. Lucie, FL 34953 2020-05-29
1174165997 D&r Homehealthcare LLC Technician 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 2019-10-14
1023677630 Physical Therapy Wellness Group Clinic/Center 519 Sw Nagle Place, Port Saint Lucie, FL 34953 2019-06-07
1063993699 Bloom Firm, LLC Home Health 1714 Sw Cycle St, Port Saint Lucie, FL 34953 2018-08-22
1386121333 For His Glory Alf LLC. Assisted Living Facility 322 Sw South Quick Circle, Port St Lucie, FL 34953 2018-07-23
1730670555 Susan May Thyme Nurse Practitioner 1762 Sw Choate St, Port Saint Lucie, FL 34953 2018-05-29
1164911301 Viven Banks Counselor 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 2018-05-03
1205323441 Katherine Monroig Behavior Technician 4557 Se Babylon St, Port Saint Lucie, FL 34953 2018-04-13
1528567583 Roger Rene Trudel Nurse Practitioner 3686 Sw Carmody Street, Port St Lucie, FL 34953 2018-02-06
1801315502 Metushela Nicolas Adult Companion 1112 Jennifer Ter, Port Saint Lucie, FL 34953 2017-09-13
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508412313 Eguenel Louis Counselor 3354 Sw Martin St, Port St Lucie, FL 34953-4915 2019-08-16
1629587605 Kristen Bjorn Counselor 600 Sw Darwin Blvd Ste 104, Port St Lucie, FL 34953-3365 2017-09-22
1750803029 Paul Kenneth Dempsey Counselor 463 Se Nome Dr, Port St Lucie, FL 34984-8952 2017-07-08
1851730865 Rhonessia Sade' Johnson Counselor 590 Nw Peacock Blvd Ste 9, Port St Lucie, FL 34986-2213 2013-06-24
1487901187 Pamela Jewell Givans Counselor 525 Nw Lake Whitney Pl Ste 102, Port St Lucie, FL 34986-1605 2012-08-13
1477810133 Bettina Phagan Counselor 308 Nw Alana Ave, Port St Lucie, FL 34986-2609 2012-04-19
1598031163 Crystal Gaye Morris Counselor 186 Sw Amesbury Ave, Port St Lucie, FL 34953-6978 2012-03-28
1487945010 Robinson Ruben Cancel Counselor 2097 Sw Trenton Ln, Port St Lucie, FL 34984-4322 2011-05-01
1003105008 Christina Raffa Clements Counselor 5436 Nw Moorhen Trl, Port St Lucie, FL 34986-4322 2011-03-31
1063733277 Margaret Wilkinson Bynoe Counselor 2525 Se Hemsing St, Port St Lucie, FL 34984-5223 2010-06-22
Find all providers in PORT ST LUCIE

Competitor

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City PORT ST LUCIE
Zip Code 34953

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Dataset Information

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.

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