NICOLE JACKSON (NPI# 1578740023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578740023 |
| Entity Type | Individual |
| Full Name | NICOLE JACKSON |
| Credential | LPC |
| Practice Address |
3630 George Washington Hwy Ste B-6 Yorktown VA 23693 |
| Mailing Address |
200 Mallard Ln Yorktown VA 23692-4358 |
| Practice Telephone | 7577686878 |
| Mailing Telephone | 7577686878 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701004259 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004945573 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Medical Dr, Suite A & B, Hampton, VA 236661769 | 7577880600 | 7577880932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1124299680 | Nicole Jackson | Licensed Practical Nurse | 1830 Southern Pkwy, Springfield, OH 45506-3115 | 2008-03-12 |
| 1205999588 | Nicole Lewis Jackson | Dentist | 3298 Northside Dr, Macon, GA 31210 | 2006-12-18 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1023637220 | Nicole Jackson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-04-09 |
| 1609405539 | Nicole Yvonne Jackson | Licensed Practical Nurse | 15 Frederick Ave, Akron, OH 44310-2904 | 2020-04-03 |
| Street Address |
3630 GEORGE WASHINGTON HWY STE B-6 |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154088 | Michelle Melo Digman | Behavior Technician | 3630 George Washington Highway, Suite D, Yorktown, VA 23693 | 2018-11-29 |
| 1518332451 | Restored Life Wellness Center, Pllc | Chiropractor | 3212 Hampton Hwy Suite C, Yorktown, VA 23693 | 2015-12-03 |
| 1285924100 | Red Star Dental | Dentist | 202 St.clair Cirle, Apt K, Yorktown, VA 23693 | 2011-04-12 |
| 1538495411 | Laura Ann Lavold | Nurse Practitioner | 3212 Hampton Highway, Suite B, Yorktown, VA 23693 | 2009-10-27 |
| 1609024090 | Foot Solutions Yorktown | Durable Medical Equipment & Medical Supplies | 2643 George Washington Memorial Hwy, #c, Yorktown, VA 23693 | 2008-08-28 |
| 1184836025 | Angela Jeanne Giles | Social Worker | 107-g Little Bay Avenue, Yorktown, VA 23693 | 2007-05-04 |
| 1003950197 | John Joseph Sheehan II | Optometrist | 2601 George Washington Hwy, Family Eyecare, Yotktown, VA 23693 | 2007-02-20 |
| 1356406920 | Laurence Allen Warren | Dentist | 106 Yorktown, Yorktown, VA 23693 | 2006-12-26 |
| 1386727022 | Hampton Roads Counseling Ctr Inc | Clinic/Center | 6515 Geo Wash Mem Hwy, Ste 100, Grafto, VA 23693 | 2006-10-24 |
| 1417046293 | Wal-mart Stores East, Lp | Technician/Technologist | 2601 Geo. Washington Mem. Hwy, Yorktown, VA 23693 | 2006-10-12 |
| Find all providers in zip 23693 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427692151 | Jill M Nardin, Lpc, PC | Counselor | 3630 George Washington Mem Hwy Ste F1, Yorktown, VA 23693-3350 | 2019-11-06 |
| 1629540794 | Rhonda S. Roscoe | Counselor | 6515 George Washington Mem Hwy Ste 101, Yorktown, VA 23692-2182 | 2018-12-29 |
| 1568480036 | Tipton Kesner Sheets | Counselor | 603 Wormley Creek Dr, Yorktown, VA 23692-4235 | 2006-07-17 |
| 1124052683 | Draa Stephen Thompson | Counselor | 7621 George Washington Mem Hwy Ste C, Yorktown, VA 23692-4898 | 2006-07-10 |
| 1053345405 | Sonya Nadine Peretti-hull | Counselor | 7621 George Washington Memorial Highway, Suite C, Yorktown, VA 23692 | 2006-07-10 |
| 1023624574 | Erin Swanson | Counselor | 3630 George Washington Mem Hwy Ste F1, Yorktown, VA 23693-3350 | 2020-09-21 |
| 1487204301 | Vision Counseling Center, LLC | Counselor | 6515 George Washington Mem Hwy Ste 101, Yorktown, VA 23692-2182 | 2019-09-12 |
| 1043697832 | Lakeside Center | Counselor | 6515 George Washington Mem Hwy, # 101, Yorktown, VA 23692-2182 | 2015-04-30 |
| 1114312956 | Brent Vallee | Counselor | 101 Village Ave, Yorktown, VA 23693-5633 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
| 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.