MARCUS JACKSON (NPI# 1568821320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568821320 |
| Entity Type | Individual |
| Full Name | MARCUS JACKSON |
| Practice Address |
14785 Preston Rd Suite 550 Dallas TX 75254-7876 |
| Mailing Address |
Po Box 224221 Dallas TX 75222-4221 |
| Practice Telephone | 8886998985 |
| Practice Fax Number | 9725255388 |
| Mailing Telephone | 8886998985 |
| Mailing Fax Number | 9725255388 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767128 | Marcus S Jackson Sr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5615 Shell Rd, Pensacola, FL 32503-7825 | 2020-07-08 |
| 1811495138 | Marcus Devaughn Jackson | Counselor | 221 Gladys Hodge Rd, Homer, LA 71040-5447 | 2018-02-01 |
| 1770028425 | Marcus Jackson | Counselor | 2313 Almonaster Ave, New Orleans, LA 70117 | 2017-01-04 |
| 1811044845 | Marcus Jackson | Dentist | 8847 Veterans Memorial Blvd Ste B, Metairie, LA 70003-7707 | 2007-01-04 |
| 1548868946 | Marcus Jackson | Pharmacist | 518 Donelson Pike, Nashville, TN 37214-3729 | 2020-10-16 |
| 1063022499 | Marcus K Jackson | Dentist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2020-07-31 |
| 1992314595 | Marcus Jackson | Case Manager/Care Coordinator | 2880 Central Pkwy, Cincinnati, OH 45225-2302 | 2020-07-29 |
| 1124523899 | Marcus Dior Jackson | In Home Supportive Care | 1913 Tremont St Se, Washington, DC 20020-7604 | 2018-03-26 |
| 1558863076 | Marcus Joseph Jackson | Behavior Technician | 648 Independence Pkwy Ste 300, Chesapeake, VA 23320-5208 | 2018-02-28 |
| 1720361652 | Marcus Jackson | Psychologist | 320 Princess Ave, North Las Vegas, NV 89030-3809 | 2011-09-27 |
| Street Address |
14785 PRESTON RD SUITE 550 |
| City | DALLAS |
| State | TX |
| Zip Code | 75254-7876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043298326 | Home Health Care Services LLC | Home Health | 14785 Preston Rd, Suite 460, Dallas, TX 75254-7876 | 2006-01-06 |
| 1235730805 | Karen Yenetchi | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-11-02 |
| 1386242980 | Berenice Alfaro Villalon | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-10-15 |
| 1164037768 | Cindy Truong | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-09-10 |
| 1962012047 | Ingrid Morales | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-08-04 |
| 1083222939 | Mayra Nava | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-07-16 |
| 1841814647 | Pdi Health Tx LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14785 Preston Rd, Dallas, TX 75254-7876 | 2020-06-08 |
| 1811511611 | Pdi Health Tx LLC | Clinic/Center | 14785 Preston Rd, Dallas, TX 75254-7876 | 2020-06-08 |
| 1700412301 | Natashaa Dalal | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-03-16 |
| 1770118226 | Cynthia Anderson | Behavior Technician | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
| 1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
| 1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
| 1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
| 1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
| Find all providers in zip 75254 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184485 | Rocio Ponce | Case Manager/Care Coordinator | 1314 Grigsby Ave, Dallas, TX 75204-6873 | 2019-06-26 |
| 1144885583 | Deangela Reese | Case Manager/Care Coordinator | 1414 Belleview St Apt 334, Dallas, TX 75215-2241 | 2019-05-01 |
| 1275007551 | Gina L Escamilla | Case Manager/Care Coordinator | 6128 Misty Wood Dr, Dallas, TX 75217-5605 | 2019-01-19 |
| 1447722442 | Demetra L Williams | Case Manager/Care Coordinator | 2026 Cedar Valley Ln, Dallas, TX 75232-2306 | 2019-01-02 |
| 1154809432 | Briona Patterson | Case Manager/Care Coordinator | 1111 W Mockingbird Ln Ste 1030, Dallas, TX 75247-5028 | 2018-07-30 |
| 1457845737 | Jennifer Jo Hamilton | Case Manager/Care Coordinator | 1140 Empire Central Dr Ste 260, Dallas, TX 75247-4322 | 2018-06-19 |
| 1265931695 | Phylisity M Slaughter | Case Manager/Care Coordinator | 2811 Bonnie View Rd, Dallas, TX 75216-3303 | 2018-02-12 |
| 1427563220 | Lisa Shardon | Case Manager/Care Coordinator | 8215 Westchester Dr Ste 213, Dallas, TX 75225-6116 | 2017-12-04 |
| 1700310224 | Shalonda Duncan | Case Manager/Care Coordinator | 1449 Brook Valley Pl, Dallas, TX 75232-1519 | 2017-04-12 |
| 1710418231 | Susan Hibbs | Case Manager/Care Coordinator | 9027 Guildhall Dr, Dallas, TX 75238-3533 | 2017-03-26 |
| Find all providers in DALLAS | ||||
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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.