MR. LEON JACKSON PERNELL SR. (NPI# 1821249541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821249541 |
| Entity Type | Individual |
| Full Name | MR. LEON JACKSON PERNELL SR. |
| Credential | LCAS |
| Practice Address |
804 S Garnett St Henderson NC 27536-4571 |
| Practice Telephone | 2524308774 |
| Practice Fax Number | 2524308821 |
| Mailing Telephone | 2524308774 |
| Mailing Fax Number | 2524308821 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
56 | NC | Behavioral Health & Social Service Providers |
| Street Address |
804 S GARNETT ST |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-4571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891437 | Mary Edith Watkins | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2006-05-24 |
| 1962050070 | Penelope Julian Dixon | Social Worker | 804 S Garnett St, Henderson, NC 27536-4571 | 2019-09-01 |
| 1063923183 | Ericka Jasmine Thomas | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2017-10-16 |
| 1568835551 | Norrson Healthcare | Case Management | 804 S Garnett St, Suite G, Henderson, NC 27536-4571 | 2015-11-12 |
| 1821460437 | Women, Children & Family Counseling Services Pllc | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2015-10-22 |
| 1417208786 | Hope Mccoy | Counselor | 804 S Garnett St, Ste. K, Henderson, NC 27536-4571 | 2012-09-27 |
| 1043401490 | Positive Outlook Services, LLC | Community/Behavioral Health | 804 S Garnett St, 120 E Belle Street, Henderson, NC 27536-4571 | 2007-08-09 |
| 1023124229 | Walter Jackson Sellers | Psychologist | 804 S Garnett St, Henderson, NC 27536 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930949 | James C Stroud | Counselor | 7525 State Highway 64 W, Henderson, TX 75652-9021 | 2020-07-28 |
| 1700428414 | Tawnia M Lindal | Counselor | 525 Engel Ave, Henderson, NV 89011-4355 | 2019-10-14 |
| 1811538317 | Nicole Mcdonagh | Counselor | 2520 Saint Rose Pkwy Ste 220a, Henderson, NV 89074-7789 | 2019-10-05 |
| 1710540729 | James Allan Hagman | Counselor | 401 Hoffman Dr Ste L, Henderson, KY 42420-3390 | 2019-04-16 |
| 1336606342 | Mountain Summits LLC | Counselor | 2520 Saint Rose Pkwy Ste 204, Henderson, NV 89074-7785 | 2019-02-26 |
| 1356810337 | Kevin A Webster | Counselor | 203 S Water St Unit 200, Henderson, NV 89015-7226 | 2018-11-19 |
| 1952890089 | Natalie Dolan | Counselor | 309 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7056 | 2018-05-03 |
| 1528556321 | Lance Everett Sellers | Counselor | 975 Seven Hills Dr Apt 3315, Henderson, NV 89052-4324 | 2018-04-26 |
| 1316440308 | Micah Jovan Smith | Counselor | 2501 N Green Valley Pkwy Ste 116-118, Henderson, NV 89014-0273 | 2018-03-15 |
| 1871091892 | Crenguta Raluca Heim | Counselor | 2050 W Warm Springs Rd Unit 1121, Henderson, NV 89014-5526 | 2018-01-24 |
| Find all providers in HENDERSON | ||||
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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.