KATIE MICHELLE JACKSON (NPI# 1760945414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760945414 |
| Entity Type | Individual |
| Full Name | KATIE MICHELLE JACKSON |
| Credential | MA, LPC |
| Practice Address |
3600 N Saginaw Rd Midland MI 48640-2301 |
| Mailing Address |
3792 Deibel Dr Saginaw MI 48603-7229 |
| Practice Telephone | 9895107626 |
| Mailing Telephone | 9898601601 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401015169 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401015169 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871840694 | Katie Anne Jackson | Speech-Language Pathologist | 11344 Coloma Rd Ste 810, Gold River, CA 95670-4465 | 2012-08-10 |
| 1255835427 | Katie Jackson | Physical Therapist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-03-21 |
| 1194077156 | Katie Elizabeth Jackson | Physician Assistant | 1306 Maple Street, Ferrell Hospital Family Practice, Eldorado, IL 62930-1666 | 2012-10-15 |
| 1649538414 | Katie Elizabeth Jackson | Pediatrics | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2012-04-30 |
| 1548567043 | Katie Jackson | Dietitian, Registered | 1107 Se Army Post Rd, Des Moines, IA 50315-5942 | 2011-02-17 |
| Street Address |
3600 N SAGINAW RD |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649506783 | Marissa Kay Ollech | Social Worker | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2009-10-25 |
| 1801493317 | Kenneth Ryan Mize | Social Worker | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2020-10-07 |
| 1487202016 | Whitney Marie Vanidour | Social Worker | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2019-08-27 |
| 1366924250 | Kacee Marie Myczkowiak | Counselor | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2018-09-06 |
| 1518406735 | Christopher M Morabito | Counselor | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2017-02-21 |
| 1881003465 | Christine Shaw | Psychologist | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2014-08-07 |
| 1215342035 | Melanie Mitchell | Psychologist | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2014-07-01 |
| 1851663652 | Elizabeth Ann Neymeiyer | Counselor | 3600 N Saginaw Rd, Midland, MI 48640-2301 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507522 | Lauren Windham | Counselor | 4001 W Illinois Ave, Midland, TX 79703-5524 | 2020-01-20 |
| 1528698552 | Human Resource Dynamics, Inc. | Counselor | 1513 Candlestick Lane, Midland, MI 48642-3116 | 2020-01-17 |
| 1942851571 | Nessa Villalobos | Counselor | 112 S Loraine St Ste 425, Midland, TX 79701-5269 | 2019-09-25 |
| 1215496872 | Neurosolutions | Counselor | 4500 W Illinois Ave Ste 212, Midland, TX 79703-5485 | 2019-03-13 |
| 1043785702 | Carol Robinson Ma Lpc Counseling Services Pllc | Counselor | 4604 N Saginaw Rd Ste N, Midland, MI 48640-3010 | 2018-10-09 |
| 1467934596 | Jodi Lynn Harwood | Counselor | 500 Harper Ln, Midland, MI 48640-7322 | 2018-09-05 |
| 1801304480 | Alyssa Wennerlind | Counselor | 3701 Andrews Hwy., Midland, TX 79703 | 2018-01-17 |
| 1609381631 | Still Water Professional Counseling LLC | Counselor | 2528 W Wackerly St, Midland, MI 48640-6921 | 2017-12-13 |
| 1659885671 | Maura Carmody Jarldane | Counselor | 1700 N Big Spring St, Midland, TX 79701-2624 | 2017-11-29 |
| 1083147987 | Anthony Galateo Garza | Counselor | 1909 W Wall St Ste A, Midland, TX 79701-6570 | 2017-04-06 |
| Find all providers in MIDLAND | ||||
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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.