JAMIE JACKSON (NPI# 1750679791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750679791 |
| Entity Type | Individual |
| Full Name | JAMIE JACKSON |
| Credential | BEYOND HS |
| Practice Address |
101 Bacon St Pawtucket RI 02860-5542 |
| Practice Telephone | 4017248400 |
| Practice Fax Number | 4017225039 |
| Mailing Telephone | 4017248400 |
| Mailing Fax Number | 4017225039 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | GH57134 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566860 | Jamie Lynn Jackson | Acupuncturist | 6245 Vance Rd Ste 109, Chattanooga, TN 37421-4836 | 2017-09-05 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1154671816 | Jamie Kay Jackson | Home Health Aide | 7409 Patrick Henry Ct, Apt. 8, Louisville, KY 40214-5239 | 2012-09-10 |
| 1881922433 | Jamie Brown Jackson | Doula | 311 Center Park Way, Apex, NC 27502-4112 | 2009-11-19 |
| 1134326838 | Jamie Leigh Jackson | Developmental Therapist | 11135 State Route 144, Philpot, KY 42366-9625 | 2007-06-27 |
| 1982812244 | Jamie A Jackson | Physical Therapist | 2301 N Broad St, Philadelphia, PA 19132-4504 | 2007-05-18 |
| 1609960087 | Jamie A Jackson | Internal Medicine | 1100 Central Ave Se Fl 4b, Pmg Hospitalists, Albuquerque, NM 87106-4930 | 2006-10-03 |
| 1194830240 | Jamie E Jackson | Chiropractor | 1410 Skylyn Dr, Spartanburg, SC 29307-1032 | 2006-08-20 |
| 1841804457 | Jamie Nicole Jackson | Registered Nurse | 101 Avenue O Se, Winter Haven, FL 33880-4333 | 2020-09-01 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| Street Address |
101 BACON ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847078 | Stephen L Chabot | Psychiatry & Neurology | 101 Bacon St, Pawtucket, RI 02860 | 2006-02-01 |
| 1972134856 | Christina A Denton | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2020-01-30 |
| 1952823627 | Erica Renee Prino | Social Worker | 101 Bacon St, Pawtucket, RI 02860-5542 | 2017-07-13 |
| 1356714919 | Yovanska M Duarte Velez | Psychologist | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-11-04 |
| 1003294984 | Trisha Johnson | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-05-12 |
| 1477940534 | Bobbie Waters | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-04-16 |
| 1407242746 | Louis Salera | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-04-14 |
| 1811385149 | Antonia Brooks | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-01-09 |
| 1255729893 | Katheryn Gorman | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-01-06 |
| 1851798003 | Patricia Hussey | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259933 | Ashley Milan | Counselor | 174 Armistice Blvd Ste D, Pawtucket, RI 02860-3269 | 2019-01-23 |
| 1114339538 | Daniel Reyes | Counselor | 36 Dean St, Pawtucket, RI 02861-3413 | 2014-05-21 |
| 1780920678 | John R Varieur | Counselor | 1 Homestead St, Pawtucket, RI 02860 | 2012-12-20 |
| 1730431305 | Lindsay R Lock | Counselor | 1010 Bacon Street, Pawtucket, RI 02860 | 2012-10-08 |
| 1336444512 | Jessica Renee Bisiak | Counselor | 242 Dexter Street, Pawtucket, RI 02860-8218 | 2011-01-19 |
| 1578874020 | James M. Geckler | Counselor | 750 East Ave Unit 2e, Pawtucket, RI 02860-6259 | 2010-06-30 |
| 1689906364 | Rute Maria Saraiva | Counselor | 101-103 Bacon Street, Pawtucket, RI 02860 | 2010-02-05 |
| 1568524627 | Dr. Day Care, Inc. | Counselor | 462 Smithfield Ave, Pawtucket, RI 02860-2552 | 2006-12-15 |
| 1184243446 | Allyson Trull | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-04-15 |
| 1992338735 | Brianna Marie Wallbank | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-02-20 |
| Find all providers in PAWTUCKET | ||||
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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.