VELMA J. JACKSON (NPI# 1891323010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891323010 |
Entity Type | Individual |
Full Name | VELMA J. JACKSON |
Credential | CADC |
Practice Address |
413 E Dixie Ave Ste 106 Elizabethtown KY 42701-1162 |
Practice Telephone | 2703199899 |
Mailing Telephone | 2703199899 |
Enumeration Date | 2020-04-01 |
Last Update Date | 2020-04-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
241831 | KY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528445418 | Velma Jackson | Case Manager/Care Coordinator | 1879 Gleneagle Cir, Elgin, IL 60123-6526 | 2015-04-30 |
1821216573 | Velma H Jackson | Dentist | 4343 North Blvd, Baton Rouge, LA 70806-3916 | 2007-04-20 |
1023025921 | Velma L. Jackson | Physical Therapist | 4035 Glen Cove Dr., Houston, TX 77021 | 2006-08-02 |
Street Address |
413 E DIXIE AVE STE 106 |
City | ELIZABETHTOWN |
State | KY |
Zip Code | 42701-1162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417585498 | Tonya Marie Maravilla | Peer Specialist | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-03-27 |
1962023879 | Brian Timothy Long | Counselor | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-05-01 |
1417585621 | Michelle Lynn Dubberke | Counselor | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-04-01 |
1306474739 | Natasha H Compton | Peer Specialist | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-03-31 |
1386272623 | Rhonda Harris | Peer Specialist | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-03-31 |
1255969614 | Julia C Holeman | Peer Specialist | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
Find all providers in zip 42701 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998181 | Specialistsmat Psc | Counselor | 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | 2020-10-09 |
1710511456 | Rosenwald Life Center | Counselor | 612 E Dixie Ave, Elizabethtown, KY 42701-1077 | 2020-03-02 |
1740823228 | Tara L Govan | Counselor | 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337-2833 | 2019-10-28 |
1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
1396397014 | Sara Elizabeth Zsigray | Counselor | 2645 Leitchfield Rd, Elizabethtown, KY 42701-8306 | 2019-07-12 |
1891284311 | Moriah J Bradley | Counselor | 1311 N Dixie Ave Bldg A, Elizabethtown, KY 42701-2621 | 2018-05-10 |
1669843710 | Theresa Waddell | Counselor | 725 New Glendale Rd, Elizabethtown, KY 42701-8373 | 2015-10-15 |
1215341821 | Kelly Devers I | Counselor | 615 Westport Rd, Elizabethtown, KY 42701-2874 | 2014-06-12 |
1093959223 | Jenafier Ae Carroll | Counselor | 312 N Mulberry St Ste 1, Elizabethtown, KY 42701-1837 | 2009-05-01 |
1255497178 | Brenda Gale Luther | Counselor | 200 Sycamore St, Suite 134, Elizabethtown, KY 42701-2469 | 2006-12-28 |
Find all providers in ELIZABETHTOWN |
City | ELIZABETHTOWN |
Zip Code | 42701 |
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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.