DERRICK ROBINSON (NPI# 1487983417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487983417 |
| Entity Type | Individual |
| Full Name | DERRICK ROBINSON |
| Credential | B.S. |
| Practice Address |
45 Executive Dr Jackson TN 38305-2337 |
| Practice Telephone | 7316642083 |
| Practice Fax Number | 7316641988 |
| Mailing Telephone | 7316642083 |
| Mailing Fax Number | 7316641988 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649657339 | Derrick Robinson | Speech-Language Pathologist | 3923 Lindley Ave, Cincinnati, OH 45212-3703 | 2015-05-01 |
| 1033732458 | Derrick Robinson | Case Manager/Care Coordinator | 311 Louisiana Ave, Bogalusa, LA 70427-3839 | 2020-05-20 |
| 1477976066 | Derrick S. Robinson | Chiropractor | 15 N 200 W, Hurricane, UT 84737-3484 | 2014-02-03 |
| 1669518379 | Derrick M Robinson | Physician Assistant | 407 East Ave, Suite 120, Pawtucket, RI 02860-5299 | 2007-01-29 |
| 1851346035 | Derrick Llewellyn Robinson | Internal Medicine | 1302 Medical Center Dr, Wilmington, NC 28401-7503 | 2006-05-24 |
| Street Address |
45 EXECUTIVE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932217783 | Traci Schott | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2006-08-29 |
| 1740774223 | Benjamin Sinclair | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2018-06-19 |
| 1992074348 | Autumn N Smith | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2011-12-14 |
| 1710283197 | Cynthia Mosher | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2011-02-02 |
| 1104139765 | Felicia Richard | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2010-07-23 |
| 1538471982 | Acunda Bond | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2010-07-13 |
| 1215178587 | Betty A Barnette | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2009-03-17 |
| 1265672695 | Gloria Jones | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2009-02-25 |
| 1881841476 | Kelly K Odum | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2008-08-26 |
| 1376720318 | Mary Elizabeth Thompson | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1457986390 | Comfort Zone Counseling LLC | Counselor | 209 E Washington Ave Ste 330-d, Jackson, MI 49201-2393 | 2020-03-11 |
| 1255976825 | April Sue Montague | Counselor | 401 S Mechanic St, Jackson, MI 49201-2350 | 2019-11-07 |
| 1851950356 | Trunorth Counseling, Pllc | Counselor | 1312 Warren Ave, Upper Level, Rm #1, Jackson, MI 49203-3732 | 2019-06-08 |
| 1083176218 | Mindful Solutions, LLC | Counselor | 4500 I 55 N Ste 230, Jackson, MS 39211-5930 | 2019-04-05 |
| 1841757630 | Susan E Cumings | Counselor | 2811 W Morrell St, Jackson, MI 49203-2643 | 2019-02-27 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1619448669 | Toby Ribiat | Counselor | 10 Partree Rd, Jackson, NJ 08527-1710 | 2018-12-16 |
| 1679077242 | Lifespring Counseling Services | Counselor | 2938 E Michigan Ave, Jackson, MI 49202-3846 | 2018-03-20 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| Find all providers in JACKSON | ||||
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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.