JORDAN JACKSON (NPI# 1619501004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619501004 |
| Entity Type | Individual |
| Full Name | JORDAN JACKSON |
| Credential | LPC-INTERN |
| Practice Address |
3355 Bee Caves Rd Ste 101 West Lake Hills TX 78746-6673 |
| Mailing Address |
345 Winecup Way Austin TX 78737-4562 |
| Practice Telephone | 5126360104 |
| Mailing Telephone | 8325176355 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-28 |
| 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 |
|---|---|---|---|---|
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1891315222 | Jordan Tyler Jackson | Student in an Organized Health Care Education/Training Program | 19512 Crest Ridge Dr, Edmond, OK 73012-3504 | 2020-04-27 |
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1205285160 | Jordan Aaron Jackson | Family Medicine | 7101 Jahnke Rd # 7151, Richmond, VA 23225-4017 | 2016-06-10 |
| 1942801923 | Jordan Jackson | Behavior Technician | 51145 Nicolette Dr, Chesterfield, MI 48047-4585 | 2020-11-05 |
| 1790396802 | Jordan N Jackson | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2020-08-12 |
| 1649881939 | Jordan Michelle Jackson | Behavior Technician | 6925 Parkdale Pl, Indianapolis, IN 46254-4673 | 2020-08-11 |
| 1225598865 | Jordan Van Jackson | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-20 |
| 1811462898 | Jordan Jackson | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-10-05 |
| 1902382161 | Jordan Jackson | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-07-11 |
| Street Address |
3355 BEE CAVES RD STE 101 |
| City | WEST LAKE HILLS |
| State | TX |
| Zip Code | 78746-6673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659245 | Susan Helga Mccoy | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746 | 2007-05-17 |
| 1902456445 | Jillian Johnston | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-6673 | 2019-09-17 |
| 1730653171 | Wisdom Compass Inc. | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-6673 | 2019-01-18 |
| 1891218285 | Bray Counseling, Pllc | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075059 | Austin Relationship Repair Shop | Counselor | 1101 S Capital of Texas Hwy Ste A200, West Lake Hills, TX 78746-6453 | 2020-08-25 |
| 1366075251 | Alexandra Florence | Counselor | 5000 Bee Caves Rd Ste 102, West Lake Hills, TX 78746-5254 | 2020-02-19 |
| 1316578479 | Mary Torkelson | Counselor | 5524 Bee Caves Rd Ste A2, West Lake Hills, TX 78746-5248 | 2020-01-28 |
| 1962053702 | Lara Long | Counselor | 1000 Westbank Dr Ste 6, West Lake Hills, TX 78746-6598 | 2019-09-23 |
| 1033606223 | Rachel Rochman | Counselor | 5524 Bee Caves Rd Ste K4, West Lake Hills, TX 78746-5247 | 2018-04-13 |
| 1649778234 | Ashleigh Edelstein | Counselor | 5524 Bee Caves Rd Ste J6, West Lake Hills, TX 78746-5247 | 2018-01-29 |
| 1376062018 | Landrum Counseling and Consulting, Pllc | Counselor | 3839 Bee Caves Rd Ste 202, West Lake Hills, TX 78746-5318 | 2017-09-13 |
| 1376065409 | Julia W Asbra | Counselor | 950 Westbank Dr Ste 104, West Lake Hills, TX 78746-6689 | 2017-07-11 |
| 1497178792 | Sarah Arnold | Counselor | 3355 Bee Caves Rd Ste 601, West Lake Hills, TX 78746-6681 | 2014-01-23 |
| 1982975496 | Jane S Flynn | Counselor | 3535 Bee Cave Rd Ste 508, West Lake Hills, TX 78746-5401 | 2012-01-16 |
| Find all providers in WEST LAKE HILLS | ||||
| City | WEST LAKE HILLS |
| Zip Code | 78746 |
Please comment or provide details below to improve the information on JORDAN 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.