LATISHA JACKSON (NPI# 1861977639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861977639 |
| Entity Type | Individual |
| Full Name | LATISHA JACKSON |
| Practice Address |
3073 Salt Lake Rd Indianapolis IN 46214-1432 |
| Practice Telephone | 3172964187 |
| Mailing Telephone | 3172964187 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595200 | Latisha Lashon Jackson | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-02-26 |
| 1922577196 | Latisha Ranae Jackson | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2018-11-17 |
| 1487912580 | Latisha Evette Jackson | Counselor | 4417 Oasis Plains Ave, North Las Vegas, NV 89085-2334 | 2012-04-25 |
| 1134408636 | Latisha Jackson | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2011-08-15 |
| 1548446537 | Latisha Nicole Jackson | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2008-01-21 |
| 1831313170 | Latisha Jackson | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-04-11 |
| Street Address |
3073 SALT LAKE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806222 | Kaysea Lewis | Social Worker | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | 2018-09-25 |
| 1104470178 | Donald Rambo Connor Maclean-kennedy | Counselor | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
| 1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
| 1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
| 1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
| 1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
| 1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
| 1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
| 1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
| Find all providers in zip 46214 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068181 | Vashni Ray | Counselor | 4346 Wild Turkey Dr, Indianapolis, IN 46239-8104 | 2020-06-17 |
| 1285250043 | Lajuan Brown | Counselor | 8752 Malaga Dr Apt 2b, Indianapolis, IN 46250-3297 | 2020-06-17 |
| 1518590132 | Kathryn Sullivan Evans | Counselor | 8126 Meadowbrook Dr, Indianapolis, IN 46240-2600 | 2020-02-21 |
| 1912530361 | Infinite Shield, LLC | Counselor | 5726 Michigan Rd, Indianapolis, IN 46228-1729 | 2020-02-13 |
| 1669002945 | Indiana Guide Right Foundation, Inc. | Counselor | 3540 Commercial Dr, Indianapolis, IN 46222-1678 | 2020-01-25 |
| 1881245603 | Mary Salem Gregory | Counselor | 1405 Wind Castle Trl, Indianapolis, IN 46280-2726 | 2019-09-23 |
| 1346700945 | Lindsay Kusy | Counselor | 1602 Guildhall Ct, Indianapolis, IN 46260-1562 | 2019-03-21 |
| 1679044531 | Denise Kasandra Hardin | Counselor | 5699 E 71st St Ste 4a, Indianapolis, IN 46220-3968 | 2018-12-17 |
| 1134604853 | Sarah M Lehman | Counselor | 1138 N Rochester Ave, Indianapolis, IN 46222-2943 | 2018-09-27 |
| 1629553516 | Brettany Ervin | Counselor | 115 N Pennsylvania St Unit 401, Indianapolis, IN 46204-2418 | 2018-09-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
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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.