MR. JOSEPH RAY JACKSON (NPI# 1689011983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689011983 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH RAY JACKSON |
| Credential | M.A. |
| Practice Address |
12 N 64th St Belleville IL 62223-3809 |
| Practice Telephone | 6183970900 |
| Mailing Telephone | 6183970900 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152773 | Joseph Granville Jackson | Counselor | 411 Sparrow St, Lake Providence, LA 71254-3035 | 2016-01-22 |
| 1538560123 | Joseph Ryan Jackson | Chiropractor | 1043 Brownsville Rd, Morgantown, KY 42261-7011 | 2014-09-15 |
| 1922392927 | Joseph Alling Jackson | Social Worker | 66 Old Stockbridge Rd, Lenox, MA 01240-2810 | 2011-06-07 |
| 1760708127 | Joseph L Jackson | Dentist | 1241 Riverside Ave, Fort Collins, CO 80524-3204 | 2010-04-10 |
| 1962731315 | Joseph S Jackson | Counselor | 502 Downing Ct, Exton, PA 19341-2090 | 2009-12-14 |
| 1851547749 | Joseph Loy Jackson | Dentist | 2719 Limestone Pkwy, Gainesville, GA 30501-1472 | 2008-08-12 |
| 1235306143 | Joseph Jackson | Physical Therapist | 15640 S Normandie Ave, Gardena, CA 90247-4016 | 2008-05-09 |
| 1518175520 | Joseph William Jackson | Dentist | 322 N Elm St, Oxford, OH 45056-1123 | 2007-05-21 |
| 1801918602 | Joseph C Jackson Jr. | Dentist | 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 | 2007-04-04 |
| 1073633624 | Joseph A Jackson | Psychiatry & Neurology | 30941 Mill Ln Ste G-132, Spanish Fort, AL 36527-5456 | 2007-03-29 |
| Street Address |
12 N 64TH ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457453615 | Kayla Lynne Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2006-09-01 |
| 1043846587 | Kelsey Stott | Social Worker | 12 N 64th St, Belleville, IL 62223-3809 | 2020-03-17 |
| 1982252201 | Alondra Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-08-29 |
| 1699236455 | Monique Marie Stroud | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-03-26 |
| 1194280008 | Melissa Marie Huebner | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-02-05 |
| 1790273795 | Joshua B Theiss | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-04-25 |
| 1891203535 | Jessica Elizabeth Biffar | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-01-16 |
| 1376058164 | Anna Pereira | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2017-12-04 |
| 1831634237 | Chestnut Health Systems, Inc | Clinic/Center | 12 N 64th St, Belleville, IL 62223-3809 | 2016-12-21 |
| 1427591015 | Brandy Hart | Counselor | 12 N 64th St, Suite 5, Belleville, IL 62223-3809 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003377110 | Daniel Harris | Counselor | 581 Belleville Ave Apt 7, Belleville, NJ 07109-1319 | 2019-03-29 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1891231833 | Gary C. Ward | Counselor | 92 Frederick St, #6, Belleville, NJ 07109-4136 | 2017-01-14 |
| 1033580881 | Dia Danae Hicks | Counselor | 3 N Delaware Ave, Belleville, IL 62221-5404 | 2015-10-19 |
| 1083953269 | Daniel Ricardo Flores | Counselor | 41470 E Archwood Dr, Apt. A133, Belleville, MI 48111-4525 | 2013-02-07 |
| 1750609392 | Jamielee Smith | Counselor | 760 Mill St, Unit C-9, Belleville, NJ 07109-5330 | 2010-05-06 |
| 1669693735 | James William Gardner | Counselor | 2120 Scheel St Apt D, Belleville, IL 62221-4182 | 2007-05-02 |
| 1588074827 | Kelley Bowers | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2014-05-07 |
| 1770920480 | Sherry Lynn Wiggers | Counselor | 12 N 64th St, Suite 5, Belleville, IL 62223-3809 | 2013-06-04 |
| 1407118847 | William Lee Barton Iv | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2012-06-12 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
Please comment or provide details below to improve the information on MR. JOSEPH RAY 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.