ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES (NPI# 1710015201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710015201 |
| Entity Type | Organization |
| Organization Name | ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES |
| Other Organization Name | ACCESS |
| Practice Address |
1011 College Ave Jacksonville TX 75766 |
| Mailing Address |
1011 College Ave Jacksonville TX 75766-3307 |
| Practice Telephone | 9035899000 |
| Mailing Telephone | 9035899000 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | DIANNA STROM (REIMBURSEMENT COORDINATOR) |
| Authorized Official Telephone | 9035899000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 14498 | TX | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 17029 | TX | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 12741 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
63332 | TX | Behavioral Health & Social Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
674004 | TX | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
618031 | TX | Nursing Service Providers |
| N | 164X00000X | Licensed Vocational Nurse | 051913 | TX | Nursing Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
H5197 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G5263 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
H3364 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K2150 | TX | Allopathic & Osteopathic Physicians |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 111411803 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 00T09Z | 01 |
| Other Name | Type Code |
|---|---|
| ACCESS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558563197 | Anderson Cherokee Community Enrichment Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1124056585 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 803 Sharon St, Rusk, TX 75785 | 2006-06-28 |
| 1750318333 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 619 East Fourth, Rusk, TX 75785 | 2006-06-27 |
| 1821092677 | Anderson Cherokee Community Enrichment Services | Psychologist | 913 N Jackson St, Jacksonville, TX 75766-3801 | 2005-06-09 |
| 1780001503 | Anderson Cherokee Community Enrichment Services | Clinic/Center | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2014-03-19 |
| 1457553091 | Anderson Cherokee Community Enrichment Services | Day Training, Developmentally Disabled Services | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1538297023 | Anderson Cherokee Community Enrichment Services | Case Management | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1447388939 | Anderson Cherokee Community Enrichment Services | Case Manager/Care Coordinator | 1011 College Ave, Jacksonville, TX 75766-3307 | 2007-02-28 |
| 1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
| Street Address |
1011 COLLEGE AVE |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1932707882 | Emily Fisher | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2020-10-13 |
| 1336773613 | Joyce Loretta Caldwell | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2020-02-26 |
| 1710540562 | Dennis Raymond Steelman | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2019-04-17 |
| 1104399047 | Donna K Daigle-thomas | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2019-01-03 |
| 1245710227 | Donna Lee Faulkner | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2018-08-18 |
| 1255822151 | Mabel N. Nwachukwu | Nurse Practitioner | 1011 College Ave, Jacksonville, TX 75766-3307 | 2018-05-25 |
| 1710412838 | Sarah E Tunnell | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2017-04-26 |
| 1467835090 | Kaila Sue Rice | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2015-07-01 |
| 1922244904 | Roxanne D. Dudley | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2008-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1881776912 | Mark Allan Thompson | Dentist | 701 S Main, Jacksonville, TX 75766 | 2006-10-19 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237182 | Anchor Life Clinic | Clinic/Center | 9654 Ragsdale Dr, Jacksonville, FL 32257-6121 | 2020-08-28 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1669019212 | Cass County Mental Health | Clinic/Center | 60 E Central Park Plz, Jacksonville, IL 62650-2071 | 2019-12-03 |
| 1962974766 | Mara's Lighthouse Counseling Center, LLC | Clinic/Center | 6015 Morrow St E Ste 109, Jacksonville, FL 32217-2125 | 2018-12-19 |
| 1417428483 | Recovery Innovations Inc | Clinic/Center | 215b Memorial Dr, Jacksonville, NC 28546-6333 | 2018-12-17 |
| 1386131092 | Renascence Behavioral Healthcare Group, Inc | Clinic/Center | 8553 Argyle Business Loop Ste 1, Jacksonville, FL 32244-6604 | 2018-04-18 |
| 1093231987 | Aspire Psychiatric Services, LLC | Clinic/Center | 625 N 1st St Ste C, Jacksonville, AR 72076-4138 | 2017-08-22 |
| 1598295701 | North Florida Learning & Behavioral Health, LLC | Clinic/Center | 8825 Perimeter Park Blvd Ste 302, Jacksonville, FL 32216-1112 | 2017-06-20 |
| 1700179868 | Chemical Dependency Counseling, Inc. | Clinic/Center | 300 W Adams St Ste 240, Jacksonville, FL 32202-4365 | 2011-05-24 |
| 1952452096 | Psi Services IIi, Inc. | Clinic/Center | 4819 Soutel Dr, Jacksonville, FL 32208-1856 | 2007-01-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
Please comment or provide details below to improve the information on ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES.
| 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.