TARA M JACKSON (NPI# 1578900510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578900510 |
| Entity Type | Individual |
| Full Name | TARA M JACKSON |
| Credential | MA |
| Practice Address |
1911 Main Ave Ste 248 Durango CO 81301-5077 |
| Practice Telephone | 9707990765 |
| Mailing Telephone | 9707990765 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0011985 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144632837 | Tara Jackson | Physical Therapy Assistant | 303 North Hurstbourne Parkway, Suite 200, Louisville, KY 40222 | 2014-05-29 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1578164679 | Tara Jackson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1124583653 | Tara Y. Jackson | Registered Nurse | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2019-02-08 |
| 1184076812 | Tara Jackson | Behavioral Analyst | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2016-07-06 |
| 1790028082 | Tara Leigh Jackson | Nurse Practitioner | 123 James River & Kanawha Turnpike, Ansted, WV 25812 | 2013-04-04 |
| 1750630505 | Tara Jackson | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2012-09-06 |
| 1184979098 | Tara Jackson | Nurse Practitioner | 6675 Holmes Rd, Suite 400, Kansas City, MO 64131-1150 | 2012-07-17 |
| 1992081343 | Tara Renae Jackson | Nurse Anesthetist, Certified Registered | 13737 Noel Rd, Ste 1400, Dallas, TX 75240-2004 | 2011-10-31 |
| 1063625184 | Tara Sauls Jackson | Pharmacist | 412 Johnson St Se, Dawson, GA 39842-1523 | 2007-05-07 |
| Street Address |
1911 MAIN AVE STE 248 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-5077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486388 | Judy Lynn Austin | Counselor | 281 Gulch Rd, Durango, CO 81303-6452 | 2020-10-31 |
| 1609489707 | Mindful Mountain Healing | Counselor | 1309 E 3rd Ave Ste B-5, Durango, CO 81301-5255 | 2020-08-28 |
| 1962024984 | Stephanie Ann Trudeaux | Counselor | 123 Linda Ct, Durango, CO 81301-3422 | 2020-05-13 |
| 1831726769 | Russ Pool Psychotherapy, LLC | Counselor | 1911 Main Ave Ste 258, Durango, CO 81301-5083 | 2020-03-23 |
| 1104328962 | Molly Beth Ahern | Counselor | 2855 Main Ave Ste B103, Durango, CO 81301-5960 | 2018-03-07 |
| 1548701352 | Liv M Mackenzie | Counselor | 128 W 14th St # B2, Durango, CO 81301-5100 | 2017-03-13 |
| 1114464013 | Kendall R. E. Smith | Counselor | 2595 County Road 203, Durango, CO 81301-6134 | 2017-01-30 |
| 1386022929 | Michael Wilkinson | Counselor | 2243 Main Ave # 4d, Durango, CO 81301-4699 | 2015-05-15 |
| 1881090157 | Tina Elliott | Counselor | 1988 County Road 205, Durango, CO 81301-6948 | 2014-11-13 |
| 1689912388 | Durango Counseling and Touch Therapies | Counselor | 128 W 14th St Ste 206, Durango, CO 81301-5100 | 2013-01-30 |
| Find all providers in DURANGO | ||||
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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.