ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES (NPI# 1780001503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780001503 |
Entity Type | Organization |
Organization Name | ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES |
Other Organization Name | ACCESS |
Practice Address |
5656 N Jackson St Jacksonville TX 75766-9641 |
Practice Telephone | 9035899000 |
Practice Fax Number | 9035893443 |
Mailing Telephone | 9035899000 |
Mailing Fax Number | 9035893443 |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |
Authorized Official Name | MRS. DIANNA L STROM (REIMBURSEMENT COORDINATOR) |
Authorized Official Telephone | 9035412577 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ACCESS | Doing Business As Name - 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 |
1457553091 | Anderson Cherokee Community Enrichment Services | Day Training, Developmentally Disabled Services | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
1710015201 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
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 |
5656 N JACKSON ST |
City | JACKSONVILLE |
State | TX |
Zip Code | 75766-9641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022918 | Jill K Pontius | Psychiatry & Neurology | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-09 |
1437587060 | Carrie C Deer | Nurse Practitioner | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2013-10-16 |
1639327877 | Dennis Ray Phillips | Social Worker | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2008-08-29 |
1598953077 | Lewlyn Francis Badger | Counselor | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2007-10-09 |
1770527350 | Leslie Z Glover | Counselor | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2006-06-15 |
1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
1497759237 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-09 |
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 |
1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
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... |
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1962974766 | Mara's Lighthouse Counseling Center, LLC | Clinic/Center | 6015 Morrow St E Ste 109, Jacksonville, FL 32217-2125 | 2018-12-19 |
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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.