MRS. KAREN GAYLE JACKSON (NPI# 1730481862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730481862 |
| Entity Type | Individual |
| Full Name | MRS. KAREN GAYLE JACKSON |
| Credential | LCDC |
| Practice Address |
605 E Berry St Ste 109 Fort Worth TX 76110-4300 |
| Practice Telephone | 8179275441 |
| Practice Fax Number | 8179275542 |
| Mailing Telephone | 8179275441 |
| Mailing Fax Number | 8179275542 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9137 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
| 1417402603 | Karen Jackson | Counselor | 6564 Crescent Grn, West Bloomfield, MI 48322-1323 | 2016-08-17 |
| 1083095889 | Karen Jackson | Developmental Therapist | 4825 Paris Ave, Jacksonville, FL 32209-3052 | 2015-06-17 |
| 1982084380 | Karen Jackson | Behavioral Analyst | 18842 120th Rd, Saint Albans, NY 11412-3617 | 2015-06-02 |
| 1780955864 | Karen P. Jackson | Social Worker | 1105 Terminal Way Ste 202, Reno, NV 89502-2162 | 2012-01-20 |
| 1194013284 | Karen C. Jackson | Speech-Language Pathologist | 7449 Heatherfield Ln, Alexandria, VA 22315-5292 | 2011-07-11 |
| 1316268188 | Karen F Jackson | Chore Provider | 136 Dockside Dr, Jacksonville, NC 28546-9768 | 2010-06-16 |
| 1124274774 | Karen Jackson | Nurse Practitioner | 107 Nicole Pl, Daphne, AL 36526-7614 | 2008-08-14 |
| 1881899607 | Karen Jackson | Occupational Therapist | 378 Black Point Rd, Scarborough, ME 04074-8619 | 2007-06-20 |
| 1013111228 | Karen Lynette Jackson | Contractor | 2915 N 44th St, Milwaukee, WI 53210-1710 | 2007-06-12 |
| Street Address |
605 E BERRY ST STE 109 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447552575 | Sonya Anne Bennett | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| 1164724290 | Heather Elizabeth Cosby | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| 1275835308 | Billy Joe Duncan | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255453 | Anita Lynne Fulmer | Counselor | 6270 Salem Cir Apt 120, Fort Worth, TX 76132-3003 | 2020-08-12 |
| 1215551031 | Leah Klyce Cothran | Counselor | 4200 S Hulen St Ste 674, Fort Worth, TX 76109-4987 | 2020-06-08 |
| 1194284885 | Sandra Wenclasky | Counselor | 3604 Winifred Dr, Fort Worth, TX 76133-2127 | 2019-03-13 |
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1306333562 | Joel Campos | Counselor | 4200 South Fwy Ste 210, Fort Worth, TX 76115-1400 | 2018-04-13 |
| 1750899225 | Jason King | Counselor | 9705 Polk Ave, Fort Worth, TX 76177-7379 | 2018-01-17 |
| 1598274771 | Donna Mcdonald Stout | Counselor | 3001a W 5th St, Fort Worth, TX 76107-2206 | 2017-09-20 |
| 1053831016 | Emily Rana Hanson | Counselor | 1801 N Riverside Dr, Fort Worth, TX 76111-2732 | 2017-06-21 |
| 1780125369 | Nichole Carter | Counselor | 4820 Valley Springs Trl, Fort Worth, TX 76244-5904 | 2017-03-15 |
| 1285181727 | Fort Wellness, Pllc | Counselor | 1809 Ridgmar Blvd, Fort Worth, TX 76116-2018 | 2016-09-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on MRS. KAREN GAYLE 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.