DEJA JACKSON (NPI# 1891149233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891149233 |
| Entity Type | Individual |
| Full Name | DEJA JACKSON |
| Practice Address |
1715 E. Cedar Suite 115 Olathe KS 66062 |
| Mailing Address |
941 E 21st Ter Lawrence KS 66046 |
| Practice Telephone | 8169773178 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2853 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699182279 | Deja Jackson | Nurse's Aide | 2529 Reeves Ave, F6, Lorain, OH 44052-4279 | 2014-07-16 |
| 1649831850 | Deja Janae Jackson | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2019-06-27 |
| Street Address |
1715 E. CEDAR SUITE 115 |
| City | OLATHE |
| State | KS |
| Zip Code | 66062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361588 | Rachel Arnold | Counselor | 1707 E Cedar St Ste 107, Olathe, KS 66062-1886 | 2020-09-23 |
| 1851926620 | Sharaya L Borjas | Counselor | 14201 S Mur Len Rd Ste 202, Olathe, KS 66062-1859 | 2020-03-11 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1053970681 | Daniel Trout | Counselor | 2014 E Stratford Rd, Olathe, KS 66062-2310 | 2019-06-07 |
| 1952803280 | Lindsey Largen | Counselor | 16500 Indian Creek Pkwy Ste 106, Olathe, KS 66062-1215 | 2018-03-02 |
| 1174038681 | Cassandra Willnauer | Counselor | 1707 E Cedar St Ste 102, Olathe, KS 66062-1886 | 2017-12-06 |
| 1821519232 | Jimmarie Smiley | Counselor | 1707 E Cedar St Ste 106, Olathe, KS 66062-1886 | 2017-07-06 |
| 1316468598 | Deborah Simon Counseling, LLC | Counselor | 14920 W 145th St, Olathe, KS 66062-4878 | 2017-06-28 |
| 1194255935 | Janee Ackerley | Counselor | 515 S Ridgeview Rd, Olathe, KS 66061-4840 | 2017-06-14 |
| 1346782216 | Janice Frye I | Counselor | 18527 W 157th Ter, Olathe, KS 66062-6799 | 2016-11-09 |
| Find all providers in OLATHE | ||||
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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.