BRENDA JACKSON (NPI# 1588179501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588179501 |
| Entity Type | Individual |
| Full Name | BRENDA JACKSON |
| Practice Address |
770 Woodlane Rd Westampton NJ 08060-3804 |
| Practice Telephone | 6092675928 |
| Mailing Telephone | 6092675928 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1205225349 | Brenda Lee Jackson | Nurse Practitioner | 757 W Eisenhower Rd, Lansing, KS 66043-2215 | 2015-01-13 |
| 1467631556 | Brenda Sue Jackson | Case Manager/Care Coordinator | 2508 S.e. 20th, Bentonville, AR 72712 | 2007-10-25 |
| 1083060610 | Brenda L.e. Jackson | Occupational Therapist | 601 W Leota St, North Platte, NE 69101-6525 | 2016-05-12 |
| 1578972600 | Brenda Rene Jackson | Counselor | 1555 E Flamingo Rd, Ste. # 158, Las Vegas, NV 89119-5258 | 2014-08-01 |
| 1538509526 | Brenda Jackson | Behavioral Analyst | 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 | 2013-07-05 |
| 1215372644 | Brenda Lee Jackson | Registered Nurse | 530 Hornady Dr, Monroeville, AL 36460-8658 | 2013-04-29 |
| 1326273707 | Brenda Ann Jackson | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2009-05-28 |
| 1336295286 | Brenda A L Jackson | Nurse Practitioner | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 | 2007-01-25 |
| 1922042951 | Brenda D Jackson | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2006-06-16 |
| Street Address |
770 WOODLANE RD |
| City | WESTAMPTON |
| State | NJ |
| Zip Code | 08060-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255427647 | Oaks Integrated Care | Clinic/Center | 770 Woodlane Rd, Westampton, NJ 08060-3806 | 2006-10-05 |
| 1619578374 | Ryan Nicole Kent | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-07 |
| 1700487626 | Dallas Barr | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-06 |
| 1487255451 | Melvina Yarngo | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-05 |
| 1659972784 | Jaleeyah Saunders | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-04 |
| 1043811227 | Johnett Gofargar | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-04 |
| 1326649898 | Dionna Johns | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-02 |
| 1912507963 | Kaitlyn Depietropolo | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| 1265032122 | Heather N Cunningham | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| 1336749217 | Jessica Mcalinden | Registered Nurse | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469143 | Bryan Cruz | Counselor | 770 Woodlane Rd Westampton, Westampton, NJ 08060-3804 | 2018-09-01 |
| 1326559774 | Sheree T Dublin | Counselor | 205 Dogwood Dr, Westampton, NJ 08060-5510 | 2017-10-12 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1902350903 | Tiffany Bradham | Counselor | 770 Woodlane Rd # 7, Westampton, NJ 08060-3804 | 2016-08-08 |
| 1790138204 | Amanda King | Counselor | 777 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-07-20 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1033581038 | Denise Nelson | Counselor | 700 Woodlane Rd Ste 35, Westampton, NJ 08060-9615 | 2015-10-29 |
| 1124419908 | Treacy Weal | Counselor | 770 Woodlane Rd Ste 23, Westampton, NJ 08060-3803 | 2015-02-14 |
| 1235538364 | Tanya Terry | Counselor | 215 Hill Rd, Westampton, NJ 08060-9619 | 2014-08-14 |
| 1942619796 | Malgorzata Stachnik | Counselor | 16 Manor Dr, Westampton, NJ 08060-9666 | 2014-08-06 |
| Find all providers in WESTAMPTON | ||||
| City | WESTAMPTON |
| Zip Code | 08060 |
Please comment or provide details below to improve the information on BRENDA JACKSON.
| 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.