LUCY JACKSON (NPI# 1548654353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548654353 |
| Entity Type | Individual |
| Full Name | LUCY JACKSON |
| Credential | M.S.W. |
| Practice Address |
1320 Mendota St Ste 120 Madison WI 53714-1060 |
| Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
127496-121 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100052220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778350 | Lucy Morrow Jackson | Student in an Organized Health Care Education/Training Program | 920 Woodmont Blvd Apt G9, Nashville, TN 37204-3327 | 2018-01-15 |
| 1629216411 | Lucy Jackson | Registered Nurse | 7567 Calistoga Pl, Rancho Cucamonga, CA 91739-1876 | 2009-02-02 |
| 1538282603 | Lucy O Jackson | Dietitian, Registered | 515 Fairburn Rd Sw Ste 350, Atlanta, GA 30331-2012 | 2007-04-06 |
| Street Address |
1320 MENDOTA ST STE 120 |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487840765 | Christine M Goergen | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2007-09-19 |
| 1871109702 | Sawyer Smith | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-09-16 |
| 1881202208 | Arizona Suzanne Jaramillo | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1740898162 | Danielle Penaranda | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1346858768 | Lorayne Harrison | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1649893579 | Rebecca R Parker | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-05-27 |
| 1487277315 | Tiffany Dia Yang | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-05-27 |
| 1104445972 | Stephanie Hoppel | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-04-13 |
| 1467087429 | Vanessa Verran | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| 1821623885 | Katherine Disch | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591086 | Carrie Allen | Counselor | 222 Kyser Blvd Apt 73, Madison, AL 35758-2307 | 2020-09-03 |
| 1548872765 | Kelly Kendricks | Counselor | 2002 Atwood Ave Ste 225, Madison, WI 53704-5382 | 2020-08-19 |
| 1740803097 | Megan Gour | Counselor | 8102 Wellness Way, Madison, WI 53719-8800 | 2020-05-21 |
| 1578197141 | Nicole Danielle Morra | Counselor | 141 Durham Rd Ste 19, Madison, CT 06443-2657 | 2020-02-23 |
| 1982236741 | Jolin Mitchel | Counselor | 437 S Yellowstone Dr Ste 219, Madison, WI 53719-1061 | 2020-02-10 |
| 1346880127 | Tree of Life Treatment Services | Counselor | 437 S Yellowstone Dr Ste 200, Madison, WI 53719-2902 | 2020-01-09 |
| 1720623226 | Reflections Mental Health LLC | Counselor | 2802 Coho St Ste 203, Madison, WI 53713-4521 | 2019-11-08 |
| 1740822287 | Diamond Jones | Counselor | 2093 W Us 90, Madison, FL 32340-4308 | 2019-10-16 |
| 1457819617 | Emma Coleen Tagariello | Counselor | 170 Ridgedale Ave, Madison, NJ 07940-1220 | 2019-03-06 |
| 1144785940 | Vallis LLC | Counselor | 814 Palmer Rd Ste B4, Madison, AL 35758-3185 | 2019-02-05 |
| Find all providers in MADISON | ||||
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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.