TANISHA JACKSON


Address: 9500 Annapolis Rd, A8, Lanham, MD 20706
Phone: 3017109400

TANISHA JACKSON (NPI# 1700395571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700395571
Entity Type Individual
Full Name TANISHA JACKSON
Practice Address 9500 Annapolis Rd
A8
Lanham
MD 20706
Mailing Address 9500 Annapolis Rd
Lanham
MD 20706-2060
Practice Telephone 3017109400
Enumeration Date 2017-09-25
Last Update Date 2017-09-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
509417 DC Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
LC5879 MD Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LC5879 MD Behavioral Health & Social Service Providers

Other Providers TANISHA JACKSON

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1407311509 Tanisha Jackson Case Manager/Care Coordinator 1271 Hogansville Rd Apt 115, Lagrange, GA 30241-6667 2019-02-04
1962065193 Tanisha Jackson Case Manager/Care Coordinator 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 2019-04-14
1750865218 Tanisha Jackson Behavior Technician 180 Grand Ave Ste 225, Oakland, CA 94612-3769 2018-09-20
1629183777 Tanisha A Jackson Dentist 2860 Michelle, 2nd Floor, Irvine, CA 92606-1009 2006-08-20

Office Location

Street Address 9500 ANNAPOLIS RD
A8
City LANHAM
State MD
Zip Code 20706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497707566 Kadie E Leach Internal Medicine 9500 Annapolis Rd, Suite A1, Lanham, MD 20706-2060 2006-05-17
1740890730 Kena Cherie Morrow Social Worker 9500 Annapolis Rd, Lanham, MD 20706-2060 2020-08-04
1487277794 Oscar Rafael Portillo Behavior Technician 9500 Annapolis Rd, Lanham, MD 20706-2060 2020-05-20
1083122923 Roslyn J Shields Behavior Technician 9500 Annapolis Rd, Lanham, MD 20706-2060 2018-01-12
1861926164 Danielle Grace Pagan Behavior Technician 9500 Annapolis Rd, Suite B2, Lanham, MD 20706-2060 2017-04-13
1164966834 Renoxx Caregivers, Inc. Day Training, Developmentally Disabled Services 9500 Annapolis Rd, Lanham, MD 20706-2060 2016-12-14
1568917045 T Trang Nguyen Dentist 9500 Annapolis Rd, Suite C-6, Lanham, MD 20706-2060 2016-08-24
1710255096 Tigisti Tesfai Abraha Occupational Therapist 9500 Annapolis Rd, Suite A-4, Lanham, MD 20706-2060 2011-12-01
1649599846 Aimee Danielle Johnson Physical Therapist 9500 Annapolis Rd, Suite A3 & A4, Lanham, MD 20706-2060 2010-05-27
1811226574 Keica Robinson Speech-Language Pathologist 9500 Annapolis Rd, Suite C-4, Lanham, MD 20706-2060 2009-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760046775 Ayesha Tappin Occupational Therapist 4200 Parliament Pl. Ste 550, Lanham, MD 20706 2019-04-24
1790240646 Himabindu Gangavarapu Vinodrao Nurse Practitioner 8118, Good Luck Road, Lanhham, MD 20706 2019-02-05
1538644943 Win Team, LLC Clinic/Center 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 2018-10-02
1558846394 Brieana Moore Behavioral Analyst 4551 Parliament Place Suite A, Lanham, MD 20706 2018-09-27
1225511553 Melvis Afanwi Chi Home Health Aide 9861 Goodluck Rd, T1, Lanham, MD 20706 2018-09-12
1346722766 Elsie Clarke Nurse Practitioner 9470 Annapolis Road Suite 311, Lanham, MD 20706 2018-09-01
1821576141 Amie Da Silva Nurse Practitioner 5724 Edge Avenue, Lanham, MD 20706 2018-07-30
1033697313 Iyadunni Omolara Olukorede Home Health Aide 9789 Good Luck Rd Apt 9, Lanham, MD 20706 2018-07-30
1447741459 A Step Ahead Preventive and Holistic Wellness Center LLC Psychologist 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 2018-05-24
1902394398 Ezekiel Kelechukwu Nwafor Home Health Aide 5447 85th Ave Apt 202, Lanham, MD 20706 2018-05-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811504822 Susanna Marie Fields-kuehl Counselor 9470 Annapolis Rd Ste 308, Lanham, MD 20706-3077 2020-09-24
1497310676 Breakthroughs Psychological Services, LLC Counselor 4421 Forbes Blvd Ste F, Lanham, MD 20706-4384 2019-05-03
1184199614 Richard Anthony Dulaney Counselor 5900 Princess Garden Pkwy Ste 670, Lanham, MD 20706-2957 2018-10-11
1689155350 Jordan Katherine Lyle Counselor 7404 Executive Pl Ste 102, Lanham, MD 20706-6230 2018-08-22
1649675166 Kilolo Ajanaku Counselor 7212 Lost Spring Ct, Lanham, MD 20706-3834 2014-10-27
1467860122 Amanda Welch Counselor 9103 Woodmore Center Dr, 207, Lanham, MD 20706-1653 2014-07-25
1265628812 Kevin Barwick Counselor 6944 Nashville Rd, Lanham, MD 20706-4614 2007-09-18
1023203965 Ajunwa Nwogu Counselor 9332 Annapolis Rd Ste 303a, Lanham, MD 20706-3113 2007-09-13
1457559395 Progressive Therapeutic Services Counselor 4409 Forbes Blvd, Suite B, Lanham, MD 20706-4373 2007-07-03
1134330582 Tarrah Bonaparte Counselor 6406 Cipriano Rd, Lanham, MD 20706-3968 2007-05-25
Find all providers in LANHAM

Competitor

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City LANHAM
Zip Code 20706

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Dataset Information

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.

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