MRS. ZAINAB JACKSON (NPI# 1538636204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538636204 |
| Entity Type | Individual |
| Full Name | MRS. ZAINAB JACKSON |
| Credential | NCC, LCPC |
| Practice Address |
1811 Metzerott Rd Apt 807 Adelphi MD 20783-5192 |
| Practice Telephone | 2026818084 |
| Mailing Telephone | 2026818084 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1811 METZEROTT RD APT 807 |
| City | ADELPHI |
| State | MD |
| Zip Code | 20783-5192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366919037 | Jackson Wellness Group | Counselor | 1811 Metzerott Rd Apt 807, Adelphi, MD 20783-5192 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862954 | Tera Duffer | Physician Assistant | 7506 Adelphi, Hyattsville, MD 20783 | 2019-10-14 |
| 1164999512 | Melorejuvenationsmeloweightloss LLC (dba) Best Pharmacy | Pharmacy | 6495 New Hampshire Av Suite # B130, Hyattsville, MD 20783 | 2018-10-24 |
| 1518446657 | Florentine Madeleine Domche - Pesok | Home Health Aide | 1836 Metzerott Rd Apt 1116, Adelphi, MD 20783 | 2018-08-09 |
| 1306365218 | Alain Samuel Kameni | Home Health Aide | 1906 Dana Dr., Hyattsville, MD 20783 | 2017-09-12 |
| 1871011486 | Justin Lee Blackwell | Counselor | 3501 University Blvd East, Adelphi, MD 20783 | 2017-09-04 |
| 1154843712 | Annmarie Cynthia Wallace | Home Health Aide | 836 Fairoak Ave, Hyattsville, MD 20783 | 2017-07-14 |
| 1063934677 | Dorine Adeline Kouanang Lapa Epse Laakak | Technician | 4043 Greenlawn Drive Apt 100, Hyattsville, MD 20783 | 2017-07-14 |
| 1861914798 | Danielle Marie Graham | Social Worker | 1800 Metzerott Rd, Apt 206, Adelphi, MD 20783 | 2017-07-12 |
| 1336684703 | Evelin Reyes | Home Health Aide | 2121 Ruatan St, Hyattsville, MD 20783 | 2016-12-21 |
| 1689121238 | Carole Nkwignia Nketcha | Home Health Aide | 1908 Erie St Apt 102, Hyattsville, MD 20783 | 2016-09-01 |
| Find all providers in zip 20783 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043384480 | Momodu Sheku | Counselor | 7411 Riggs Rd, Ste 215, Adelphi, MD 20783-4246 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| 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.