ALEX JACKSON (NPI# 1609279702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609279702 |
| Entity Type | Individual |
| Full Name | ALEX JACKSON |
| Practice Address |
1838 Eastman Ave Ste 100 Ventura CA 93003-6498 |
| Practice Telephone | 8056657748 |
| Mailing Telephone | 8056657748 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ASPIRA | 56CC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851814396 | Alex Mitchell Jackson | Optometrist | 2699 Townsend Ct, Clarksville, TN 37043-6487 | 2017-07-17 |
| 1033457189 | Alex Jackson | Technician, Other | 934 S Main St, Layton, UT 84041-7135 | 2013-01-24 |
| Street Address |
1838 EASTMAN AVE STE 100 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-6498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342423 | Shannon Stone | Marriage & Family Therapist | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2006-09-28 |
| 1992120778 | Sara Cristina Martin | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2014-03-03 |
| 1790108355 | Vanessa Barrios | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2014-01-31 |
| 1205266079 | Jesus Herrera | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2013-11-15 |
| 1053744656 | Denise Olivares | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2013-08-19 |
| 1548500762 | Jesus Juarez | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2013-02-25 |
| 1487990412 | Miriam Barsoum | Marriage & Family Therapist | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2012-12-19 |
| 1518202035 | Leonor Fernandez | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2012-12-10 |
| 1871850610 | Lisa Leigh Postas | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2012-04-18 |
| 1538434071 | Gayle Michelle Watson | Counselor | 1838 Eastman Ave Ste 100, Ventura, CA 93003-6498 | 2012-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529308 | Megan Emery | Counselor | 1068 E Main St Ste 210, Ventura, CA 93001-5049 | 2020-02-12 |
| 1538791934 | Bernita S Brazier | Counselor | 1500 Palma Dr Ste 230, Ventura, CA 93003-6451 | 2020-02-04 |
| 1104475326 | Hannah Marie Kellner | Counselor | 248 E Lewis St, Ventura, CA 93001-1555 | 2019-09-10 |
| 1336796887 | Jenny Campbell | Counselor | 4355 Whittier Ct, Ventura, CA 93003-3846 | 2019-08-20 |
| 1104472919 | Alexis Lillian Estrada | Counselor | 3426 Preble Ave, Ventura, CA 93003-5039 | 2019-08-16 |
| 1598311086 | Jennifer Stocker | Counselor | 5740 Ralston St Ste 210, Ventura, CA 93003-5864 | 2019-08-12 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1477115970 | Mark Steven Perry | Counselor | 4949 Terry Dr, Ventura, CA 93003-2030 | 2019-07-03 |
| 1114586377 | Diana R Albarran | Counselor | 10569 Verbena St, Ventura, CA 93004-1889 | 2019-06-11 |
| 1265905848 | Joni Medina | Counselor | 9600 Telephone Rd Apt 93, Ventura, CA 93004-2749 | 2019-01-07 |
| Find all providers in VENTURA | ||||
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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.