SANDRA COLLINS-JACKSON (NPI# 1518025733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518025733 |
| Entity Type | Individual |
| Full Name | SANDRA COLLINS-JACKSON |
| Credential | MS, LPC, CPRP |
| Practice Address |
104 Center Ave Suite 201a Kodiak AK 99615-6393 |
| Practice Telephone | 9074862632 |
| Practice Fax Number | 9074862732 |
| Mailing Telephone | 9074862632 |
| Mailing Fax Number | 9074862732 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
AA 309 | AK | Behavioral Health & Social Service Providers |
| Street Address |
104 CENTER AVE SUITE 201A |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154739878 | Anchorage Sleep Center, LLC Dba Kodiak Sleep Center | Clinic/Center | 104 Center Ave, Suite 102, Kodiak, AK 99615-6393 | 2014-07-25 |
| 1740510270 | Nyia Asia Charest | Social Worker | 104 Center Ave, Suite 204, Kodiak, AK 99615-6393 | 2010-01-06 |
| 1639312010 | Tina Clumpner | Speech-Language Pathologist | 104 Center Ave, Suite 200, Kodiak, AK 99615-6393 | 2009-04-14 |
| 1831343102 | Kevin Creelman, Md, PC | Family Medicine | 104 Center Ave, Ste 100, Kodiak, AK 99615-6393 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336348036 | Marjorie Massen | Counselor | 717 E. Rezanof Drive, Kodiak, AK 99615 | 2007-07-12 |
| 1679100515 | Melissa Marie Anderson | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1811502859 | Alaska Telemedicine Consultants Inc | Counselor | 12461 Gilead Way, Willow, AK 99699 | 2020-09-15 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1073121752 | Gina Thara Wall | Counselor | 17601 James Way, Eagle River, AK 99577-9254 | 2020-07-17 |
| 1154947893 | Jo Flesner | Counselor | 17101 Snowmobile Ln Ste 109, Eagle River, AK 99577-7043 | 2020-06-18 |
| 1437778602 | Kirklin Kinney | Counselor | 5801 E Bogard Rd, Wasilla, AK 99654-4267 | 2020-04-08 |
| 1144859703 | Gena Ruth Ornquist | Counselor | 1000 Josselin Ln, Palmer, AK 99645-7110 | 2020-04-06 |
| 1316587173 | Janet Daw | Counselor | 10714 Colville St, Eagle River, AK 99577-8287 | 2020-01-09 |
| 1588209225 | Elena A Martin | Counselor | 68 Willow Cir, Ketchikan, AK 99901-9530 | 2019-11-15 |
| 1841841723 | Danielle N Gutierrez | Counselor | 1528 Richardson Hwy Apt 3, North Pole, AK 99705-5967 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
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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.