DENISE DIANE JACKSON (NPI# 1538675632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538675632 |
| Entity Type | Individual |
| Full Name | DENISE DIANE JACKSON |
| Practice Address |
1545 W 25th St Cleveland OH 44113-3158 |
| Practice Telephone | 2167812250 |
| Practice Fax Number | 2167812252 |
| Mailing Telephone | 2167812250 |
| Mailing Fax Number | 2167812252 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
164132 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736275 | Denise Jackson | Massage Therapist | 102 Arborwood Dr, Anderson, SC 29621-5865 | 2020-09-23 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1720403256 | Denise Ann Jackson | Social Worker | 1003 N Griffin Ave, Okmulgee, OK 74447-2512 | 2014-02-20 |
| 1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
| 1871545772 | Denise L Jackson | Family Medicine | 10043 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2006-05-17 |
| 1295732071 | Denise Serotta Jackson | Physical Therapist | Stephen W. Bassin, P.t., P.C., 32 Sherman Ave, Glen Falls, NY 12801 | 2005-07-07 |
| 1669030649 | Denise Jackson | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2019-06-04 |
| 1669930616 | Denise Jackson | Technician | 3110 Esther Pl Se, Washington, DC 20032-1505 | 2019-03-08 |
| 1093089906 | Denise Jackson | Physical Therapy Assistant | 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 | 2012-02-24 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| Street Address |
1545 W 25TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306112610 | Regina R. Spicer | Counselor | 1545 W 25th St, Cleveland, OH 44113-3158 | 2012-03-30 |
| 1568932796 | Leslie Henderson | Peer Specialist | 1545 W 25th St, Cleveland, OH 44113-3158 | 2018-11-30 |
| 1700379062 | Jentry Harris | Case Manager/Care Coordinator | 1545 W 25th St, Cleveland, OH 44113-3158 | 2018-06-12 |
| 1073006722 | Alexis James | Social Worker | 1545 W 25th St, Cleveland, OH 44113-3158 | 2018-06-07 |
| 1578055224 | Brenda Lee Greene Norman | Peer Specialist | 1545 W 25th St, Cleveland, OH 44113-3158 | 2018-05-30 |
| 1174039283 | Schanavian J Adams-luke | Counselor | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-12-27 |
| 1083120281 | Sherri Ann Brandon | Counselor | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-12-26 |
| 1184135519 | Front Steps Housing and Services | Clinic/Center | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-10-12 |
| 1467981969 | Front Steps Housing and Services | Case Management | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-06-08 |
| 1922464262 | Kennee Switzer Rakos | Social Worker | 1545 W 25th St, Cleveland, OH 44113-3158 | 2015-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1699301903 | Deon Bushner | Counselor | 1400 E 55th St, Cleveland, OH 44103-1304 | 2020-03-18 |
| 1043842347 | Karen Hill | Counselor | 11100 Saint Clair Ave Ste 228, Cleveland, OH 44108-1943 | 2020-02-05 |
| 1073143657 | Jeff Ward & Associates LLC | Counselor | 12805 Revere Ave, Cleveland, OH 44105-2959 | 2020-01-22 |
| 1952941858 | Danielle Celeste Yates | Counselor | 18019 Parkmount Ave, Cleveland, OH 44135-4127 | 2020-01-09 |
| 1629618590 | Kinneykares, Inc. | Counselor | 1599 E 40th St, Cleveland, OH 44103-2301 | 2020-01-08 |
| 1962048728 | Reliable Hearts | Counselor | 16001 Holmes Ave, Cleveland, OH 44110-2460 | 2019-11-26 |
| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| Find all providers in CLEVELAND | ||||
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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.