JACKIE DOUBLIN (NPI# 1730544388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730544388 |
| Entity Type | Individual |
| Full Name | JACKIE DOUBLIN |
| Practice Address |
4625 Falconcrest Dr. Suite A Paducah KY 42001 |
| Mailing Address |
4625 Falconcrest Dr Suite A Paducah KY 42001-7458 |
| Practice Telephone | 2704430096 |
| Practice Fax Number | 2704430080 |
| Mailing Telephone | 2704430096 |
| Mailing Fax Number | 2704430080 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| 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) |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4625 FALCONCREST DR. SUITE A |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| 1982961801 | Nashville Pharmacy Services LLC | Pharmacy | 1903 Broadway Street, Paducah, KY 42001 | 2012-04-17 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774914 | Lynn Marie Richendollar | Counselor | 148 S. Nelson Park Rd, Paducah, KY 42001-4200 | 2020-09-11 |
| 1730658220 | Kenneth William Adlum | Counselor | Millstone Counseling, 4001 Hansen Rd., Paducah, KY 42001-9784 | 2018-11-14 |
| 1134643588 | Courtney Deanne Jones | Counselor | 425 Broadway St Ste 202, Paducah, KY 42001-0713 | 2017-07-27 |
| 1538593389 | Lacey Dodd | Counselor | 4625 Falconcrest Dr, Suite A, Paducah, KY 42001-7458 | 2013-08-29 |
| 1548509623 | Janean Tinsley | Counselor | 120 Brett Chase Ste D-3d4, Paducah, KY 42003-5766 | 2013-02-08 |
| 1053638650 | Millstone Counseling Center | Counselor | 4001 Hansen Rd, Paducah, KY 42001-9784 | 2010-04-23 |
| 1689814287 | Ashley Willis | Counselor | 4625 Falconcrest Dr Ste A, Paducah, KY 42001-7458 | 2009-02-23 |
| 1902446586 | Millstone Counseling Center | Counselor | 4001 Hansen Rd, Paducah, KY 42001-9784 | 2020-01-10 |
| 1255816310 | Dennis Brooks Park | Counselor | 2705 Olivet Church Rd, Paducah, KY 42001-9755 | 2018-09-25 |
| 1023511722 | Becky Hopper-towe | Counselor | 2705 Olivet Church Rd, Paducah, KY 42001-9755 | 2018-03-09 |
| Find all providers in PADUCAH | ||||
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| 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.