CHEYENNE L JACKSON I (NPI# 1801404959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801404959 |
| Entity Type | Individual |
| Full Name | CHEYENNE L JACKSON I |
| Practice Address |
380 Freeville Rd Freeville NY 13068-9684 |
| Practice Telephone | 6078446483 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
380 FREEVILLE RD |
| City | FREEVILLE |
| State | NY |
| Zip Code | 13068-9684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588714265 | The William George Agency | Residential Treatment Facility, Emotionally Disturbed Children | 380 Freeville Rd, Freeville, NY 13068-9684 | 2007-01-12 |
| 1598366965 | Amanda Comfort | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-11-03 |
| 1831799642 | Kody Mcgraw | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-10-30 |
| 1760081012 | Heather Arnold | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-10-19 |
| 1336763820 | Jesselea Spears | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-06-01 |
| 1972134351 | Hilary Reilly | Social Worker | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-02-04 |
| 1447882824 | Renee J Damon | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-02-04 |
| 1841820362 | Katilyn Butler | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-01-23 |
| 1831729359 | Nicole Williams | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-01-23 |
| 1013557859 | Jennifer Dupay | Counselor | 380 Freeville Rd, Freeville, NY 13068-9684 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699092643 | Joanne Marie Lorenc | Social Worker | 380 Freeville Rd., Freeville, NY 13068 | 2010-04-30 |
| 1235285396 | Cynthia Marie Palmer-elberty | Dentist | 1 Brooklyn Road, Freeville, NY 13068 | 2007-01-25 |
| 1508402710 | Finger Lakes Dermatology Pllc | Dermatology | 2141 Dryden Rd, Freeville, NY 13068 | 2019-11-22 |
| 1205942752 | Colin Kenneth Dauria | Psychiatry & Neurology | 1451 Dryden Rd, Tompkins/cortland Va Cboc, Freeville, NY 13068 | 2006-08-21 |
| 1629049267 | Richard Weiner | Specialist | 24 Main Street, Freeville, NY 13068 | 2006-01-31 |
| 1861611808 | Wayne H Seeley Dmd PC | Dentist | 2028 Dryden Road, Freeville, NY 13068-0317 | 2007-04-25 |
| 1740305770 | Wayne H Seeley | Dentist | 2028 Dryden Rd, Freeville, NY 13068-0317 | 2007-03-20 |
| 1841436953 | Jens L. Wennberg | Physician Assistant | 501 Midline Rd, Freeville, NY 13068-5625 | 2008-12-18 |
| 1689018038 | Susan R Yanoff | Veterinarian | 295 Irish Settlement Rd, Freeville, NY 13068-5633 | 2013-04-28 |
| 1033448485 | Penny H Baron | Specialist | 445 Ferguson Rd, Freeville, NY 13068-5637 | 2009-12-14 |
| Find all providers in zip 13068 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
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|---|---|---|---|---|
| 1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
| 1396342002 | Buffalo Guidance Group | Counselor | 475 Ellicott St Ste 105, Buffalo, NY 14203-1531 | 2020-10-06 |
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1528674884 | Bella Avulova | Counselor | 7329 173rd St, Fresh Meadows, NY 11366-1429 | 2020-09-21 |
| 1114545191 | Nicole Byrne-navarro | Counselor | 128 Park Row Ste 1000, Cadyville, NY 12918-2817 | 2020-07-07 |
| 1558993543 | Kalya Castillo | Counselor | 69 Maple St Apt 1, Dobbs Ferry, NY 10522-4114 | 2020-02-07 |
| 1730710112 | Devika Llolanda Vigilance | Counselor | 1228 E 84th St Fl 1, Brooklyn, NY 11236-4912 | 2020-02-04 |
| 1821647652 | Andrew Brook | Counselor | 108 Hollyhock Rd, Levittown, NY 11756-2423 | 2019-09-04 |
| 1881242469 | Vanessa Ramirez | Counselor | 250 W Merrick Rd Apt 1b, Freeport, NY 11520-3311 | 2019-08-28 |
| 1578110938 | Ariana Schiano | Counselor | 89 Ontario Ave, Massapequa, NY 11758-3934 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.