MS. JENNIFER CAROL JACKSON (NPI# 1487290524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487290524 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER CAROL JACKSON |
| Credential | LMHC |
| Practice Address |
76 Vassar St Worcester MA 01602-1535 |
| Practice Telephone | 5084505769 |
| Mailing Telephone | 5084505769 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11383 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1013332535 | Jennifer Jackson | Speech-Language Pathologist | 1105 Mcmurdo Cir, Castle Rock, CO 80108-2821 | 2014-02-19 |
| 1891053526 | Jennifer Dawn Jackson | Counselor | 240 Orville Bates Ln, Estill Springs, TN 37330-4278 | 2012-05-01 |
| 1205149382 | Jennifer Lynn Lawrence Jackson | Pharmacist | 4718 Limestone Rd, Wilmington, DE 19808-1928 | 2010-07-19 |
| 1326360611 | Jennifer J Jackson | Counselor | 364 E. Main Street, Newark, DE 19711 | 2010-02-27 |
| Street Address |
76 VASSAR ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01602-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120950 | Christina Comeau | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2020-10-05 |
| 1104435122 | Mary Walters | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962915165 | Yasmin Gonzalez | Developmental Therapist | 239 Mill Street Suite B, Worcester, MA 01602 | 2017-11-09 |
| 1366971723 | Catherine Cruz | Social Worker | 255 Park Ave., Suite 500, Worcester, MA 01602 | 2017-06-08 |
| 1467986968 | Rosmery Reyes Cruz | Developmental Therapist | 111 Fairfield Street, Apt.2, Worcester, MA 01602 | 2017-04-12 |
| 1730553124 | H.r.i. Clinics Inc - (worcester Location) | Community/Behavioral Health | 411 Chandler St., Arbour Counseling Services Partial Hospital Lization Pr, Worcester, MA 01602 | 2015-11-23 |
| 1235529413 | Christine Fitzgerald | Social Worker | 411 Chandler Street, Arbour Counseling, Worcester, MA 01602 | 2015-01-27 |
| 1215354345 | Dale Burton | Speech-Language Pathologist | 257 Mower Street, Worcester, MA 01602 | 2014-03-26 |
| 1720415219 | Massachusetts Center for People, Work & Learning | Home Health | 259 June St, Worcester, MA 01602 | 2013-09-30 |
| 1699020685 | Allison Carr | Occupational Therapist | 99 June St., Apt #2, Worcester, MA 01602 | 2012-07-17 |
| 1194016543 | Michael Anthony Amato Jr. | Pharmacist | 393 Chandler St, Worcester, MA 01602 | 2011-04-20 |
| 1326365826 | Fostina Aidoo Rolle | Licensed Practical Nurse | 30 Intervale Rd, Worcester, MA 01602 | 2010-04-23 |
| Find all providers in zip 01602 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834847 | Brenna Morgan | Counselor | 2 Duncannon Ave Apt 9, Worcester, MA 01604-5139 | 2020-09-01 |
| 1043820384 | Dylan Gibbons | Counselor | 62 Wedgewood Rd, Worcester, MA 01602-1027 | 2020-08-02 |
| 1457977316 | Taylor Neil | Counselor | 2 Norton St, Worcester, MA 01605-3311 | 2020-06-17 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1932746708 | Jason Boyle | Counselor | 495 Grove St, Worcester, MA 01605-1242 | 2019-11-29 |
| 1679119853 | Stephanie K Corio | Counselor | 102 Plantation St Apt 3, Worcester, MA 01604-4043 | 2019-11-21 |
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1306480678 | Joy Robinson | Counselor | 44 Byron St Apt 32, Worcester, MA 01606-2837 | 2019-10-30 |
| 1841840063 | Paulina Brunelle | Counselor | 324 Clark St Rear 2, Worcester, MA 01606-1214 | 2019-09-19 |
| 1366090169 | Charlotte Martinez Cortes | Counselor | 200 Lincoln St Ste 3, Worcester, MA 01605-2528 | 2019-08-27 |
| Find all providers in WORCESTER | ||||
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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.