SHAWN JACKSON (NPI# 1619305380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619305380 |
| Entity Type | Individual |
| Full Name | SHAWN JACKSON |
| Practice Address |
196 Sussex Dr Monroe LA 71203-3324 |
| Practice Telephone | 3185125915 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 246W00000X | Technician, Cardiology | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393796 | Shawn Pierre Jackson | Counselor | 3242 S Lakewood Ave, 2f, Tulsa, OK 74135-4910 | 2016-05-04 |
| 1578027736 | Shawn Rene'e Jackson | Occupational Therapy Assistant | 201 E Thompson St, Decatur, TX 76234-2736 | 2019-01-22 |
| 1174054068 | Shawn Jackson | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-23 |
| 1528413911 | Shawn Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-05-04 |
| 1780078915 | Shawn Jackson | Anesthesiology | 300 Longwood Ave, Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129, Boston, MA 02115-5724 | 2015-03-25 |
| 1225391352 | Shawn D. Jackson | Nurse Practitioner | 125 S 9th St, Philadelphia, PA 19107-5125 | 2012-06-22 |
| 1487922837 | Shawn A Jackson | Counselor | 10532 N. Port Washington Rd., Mequon, WI 53092 | 2011-12-13 |
| 1437441276 | Shawn D Jackson | Physical Therapist | 777 Bannock St, Denver, CO 80204-4507 | 2011-05-12 |
| 1053577825 | Shawn E Jackson | Physical Therapist | 2701 Larsen Rd, Suite 111, Green Bay, WI 54303-4863 | 2008-07-31 |
| 1841479342 | Shawn Nichole Jackson | Occupational Therapy Assistant | 1415 Route 70 E, Suite 103, Cherry Hill, NJ 08034-2210 | 2007-10-31 |
| Street Address |
196 SUSSEX DR |
| City | MONROE |
| State | LA |
| Zip Code | 71203-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| 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 |
|---|---|---|---|---|
| 1538781638 | John R Webb | Counselor | 2013 Spencer Ave, Monroe, LA 71201-2719 | 2020-05-12 |
| 1205474178 | Lotus Counseling & Consulting LLC | Counselor | 2439 5th St, Monroe, WI 53566-1504 | 2019-12-11 |
| 1851949879 | Mark Edward Hersh | Counselor | 220 Fernhead Ave, Monroe, NJ 08831-8736 | 2019-09-03 |
| 1184103749 | Lauren Allender | Counselor | 4 Whitetail Dr, Monroe, CT 06468-1485 | 2018-08-14 |
| 1518452820 | Kakietha Keys | Counselor | 154 Preston Loop, Monroe, LA 71202-6912 | 2018-06-28 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1366956435 | Paulette Roberts | Counselor | 1800 Stubbs Ave, Monroe, LA 71201 | 2017-11-27 |
| 1073025318 | Gp Consulting, LLC | Counselor | 300 Washington St Ste 100d, Monroe, LA 71201-6751 | 2017-10-26 |
| 1588180103 | Barbara Verran | Counselor | 824 S Monroe St, Monroe, MI 48161-1432 | 2017-08-15 |
| 1588184816 | Janice Price | Counselor | 2017 Hudson Lane, Monroe, LA 71201 | 2017-06-27 |
| Find all providers in MONROE | ||||
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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.