ERICA JACKNIN (NPI# 1841690732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841690732 |
| Entity Type | Individual |
| Full Name | ERICA JACKNIN |
| Credential | MA, ATR-BC, LPAT |
| Practice Address |
100 Sherlock Ct Corrales NM 87048 |
| Mailing Address |
100 Sherlock Ct Corrales NM 87048-6915 |
| Practice Telephone | 3039295307 |
| Mailing Telephone | 3039295307 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | CAT0201081 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1465 Kelly Johnson Blvd, Suite 350, Colorado Springs, CO 809203955 | 7193578957 |
| Street Address |
100 SHERLOCK CT |
| City | CORRALES |
| State | NM |
| Zip Code | 87048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1770102618 | Lisa Garcia | Technician | 148 West Valverde Rd., Corrales, NM 87048 | 2020-04-10 |
| 1821331182 | Celia Janet Larcom | Massage Therapist | 4650 Corrales Rd., Bldg. B, Corrales, NM 87048 | 2013-04-04 |
| 1740538693 | Angel Paths Therapy | Voluntary or Charitable | 817 West Ella, Corrales, NM 87048 | 2012-08-27 |
| 1013207356 | Meta, Inc. | Community/Behavioral Health | 4813 Corrales Road, Corrales, NM 87048 | 2011-04-07 |
| 1568602399 | Michael A Mauldin | Psychologist | 154 Anya Rd, Corrales, NM 87048 | 2009-03-06 |
| 1154568087 | Maria C Chavez | Counselor | 218 Broadway Ave, Abq, NM 87048 | 2009-01-14 |
| 1104073451 | Changing Life's Direction, LLC | Community/Behavioral Health | 4627 Corrales Rd., Corrales, NM 87048 | 2008-08-19 |
| 1467613604 | Natalie M Naranjo-rodriguez | Counselor | 20 Camino Vega Verde, Corrales, NM 87048 | 2008-06-20 |
| 1992911432 | Lorraine Ann Goss | Nurse Practitioner | 5 Camino Del Sol St., Corales, NM 87048 | 2007-05-14 |
| Find all providers in zip 87048 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509348 | Kerri Wormwood, LLC | Art Therapist | 3200 Carlisle Ne, Suite 204, Albuquerque, NM 87110 | 2016-03-03 |
| 1598374688 | Artistic Wellness, LLC | Art Therapist | 1621 Vuelta Pl, Santa Fe, NM 87501-2332 | 2020-07-24 |
| 1518588813 | Robert Belgrod | Art Therapist | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2020-04-28 |
| 1114075413 | Susan Marie Neal | Art Therapist | 1101 Lopez Rd Sw, Albuquerque, NM 87105-3954 | 2007-01-05 |
| 1730236944 | Lonni Ann Fredman | Art Therapist | 1101 Lopez Rd Sw, Albuquerque, NM 87105-3954 | 2007-01-03 |
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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.