LISA JACKSON (NPI# 1619194628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619194628 |
| Entity Type | Individual |
| Full Name | LISA JACKSON |
| Practice Address |
1827 Atlanta Ave Ste D3 Riverside CA 92507-7418 |
| Practice Telephone | 9519558000 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300329 | Lisa Ann Jackson | Speech-Language Pathologist | 802 S Yucatan Dr, Tucson, AZ 85710-4933 | 2019-11-15 |
| 1194292441 | Lisa Jackson | Nurse's Aide | 2423 Montana Blue Dr, Spring, TX 77373-7871 | 2018-10-25 |
| 1770027781 | Lisa Jackson | Registered Nurse | 1520 E Calhoun St, Anderson, SC 29621-2210 | 2016-12-09 |
| 1154711166 | Lisa Jackson | Psychologist | 20111 Horace Harding Expy, Oakland Gardens, NY 11364-1639 | 2015-01-28 |
| 1720493224 | Lisa Nicole Jackson | Specialist/Technologist | 3200 Troup Hwy Ste, 120, Tyler, TX 75701 | 2014-06-24 |
| 1831468420 | Lisa Nicole Jackson | Licensed Practical Nurse | 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 | 2011-12-28 |
| 1992023030 | Lisa Jackson | Massage Therapist | 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 | 2010-05-13 |
| 1487844973 | Lisa Nicole Jackson | Obstetrics & Gynecology | 89-06 135th St, Room 6a, Jamaica, NY 11418 | 2007-07-31 |
| 1497828826 | Lisa Lanette Jackson | Nurse Practitioner | 1117 Chestnut St, Lewisville, AR 71845 | 2006-11-15 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| Street Address |
1827 ATLANTA AVE STE D3 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437228418 | Linda Marie Ramos | Social Worker | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2006-11-06 |
| 1851754402 | Marco Spears | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2016-03-31 |
| 1164826954 | Jeaniel Dancer | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2014-10-22 |
| 1932514270 | Corrie Craig | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2014-06-25 |
| 1093084576 | Leticia Guillen Lopez | Social Worker | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2011-12-29 |
| 1861781957 | Nathan Allen | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2011-03-30 |
| 1124356266 | Tarra Hill | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2009-12-01 |
| 1033365382 | Deborah Anne Horton | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2008-08-18 |
| 1861657538 | Ashley Dare Gerhardt | Case Manager/Care Coordinator | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2008-07-22 |
| 1831352152 | Anthony Joelewis Richmond | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602931 | Shanee M Brown | Counselor | 2900 Adams St Ste C245, Riverside, CA 92504-7903 | 2020-06-03 |
| 1902425630 | Tijuana Ross | Counselor | 6235 River Crest Dr Ste O, Riverside, CA 92507-0758 | 2020-04-13 |
| 1780142026 | Manorah Muongpruan | Counselor | 7177 Brockton Ave Ste 452, Riverside, CA 92506-2635 | 2019-03-05 |
| 1750845525 | Shadaya Raquel Fowler | Counselor | 5321 Wenatchee Way, Riverside, CA 92509-7819 | 2019-01-25 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1689198426 | Elizabeth Lembo | Counselor | 4509 Main St, Riverside, CA 92501-4150 | 2017-08-02 |
| 1023466836 | Corey Kimble | Counselor | 402 Cleveland Ave, Riverside, NJ 08075-4004 | 2016-06-02 |
| 1275993701 | Michelle Hunt | Counselor | 5710 Walter St, Riverside, CA 92504-1527 | 2016-02-25 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on LISA 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.