MISS TIESHA K JACKSON (NPI# 1922570126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922570126 |
| Entity Type | Individual |
| Full Name | MISS TIESHA K JACKSON |
| Practice Address |
732 Beckman St Dayton OH 45410-2165 |
| Practice Telephone | 9372531680 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
732 BECKMAN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942321989 | Massimo De Marchis | Psychologist | 732 Beckman St, Nova House Association Inc., Dayton, OH 45410-2165 | 2007-04-03 |
| 1497363345 | Adrian Hope Bates | Nurse Practitioner | 732 Beckman St, Dayton, OH 45410-2165 | 2020-07-16 |
| 1396362539 | Cory Adkins | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2020-07-04 |
| 1649892746 | Sara Louise Thevenin | Community/Behavioral Health | 732 Beckman St, Dayton, OH 45410-2165 | 2020-05-12 |
| 1396364881 | Vateema Frosh | Counselor | 732 Beckman St, Dayton, OH 45410-2165 | 2020-04-14 |
| 1699308387 | Abhishek Aggarwal | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2020-02-20 |
| 1336788132 | Jeniece Gentry | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2019-12-27 |
| 1851932867 | Joseph Robert Lane | Counselor | 732 Beckman St, Dayton, OH 45410-2165 | 2019-10-01 |
| 1710535059 | Tamara Kay Balcer | Licensed Practical Nurse | 732 Beckman St, Dayton, OH 45410-2165 | 2019-08-29 |
| 1528612819 | Eric Oliver Jefferson | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1720572829 | Malinda Kirk | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-21 |
| 1861986168 | Taiyana Mickey | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-20 |
| 1427542182 | Tanisha Reynolds | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-17 |
| 1033606892 | Brittni Wilkinson | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-04-17 |
| 1881198612 | Jacob Sauer | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2018-03-19 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 1578170056 | Taylor Katherine Bevins | Counselor | 856 Hyde Park Dr, Dayton, OH 45429-5840 | 2020-09-28 |
| 1528689676 | Yvonne Marie Randel | Counselor | 519 County Road 4011, Dayton, TX 77535-7386 | 2020-04-29 |
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1477190312 | Tewanna Hawkins | Counselor | 4352 Catalina Ave, Dayton, OH 45416-1302 | 2019-12-10 |
| 1588206718 | Iris Marie Blanchard | Counselor | 329 Imogene Rd, Dayton, OH 45405-5208 | 2019-10-09 |
| 1891345559 | Larry S Baxter IIi | Counselor | 612 Gramont Ave, Dayton, OH 45402-5439 | 2019-09-16 |
| 1992354286 | Eden E Mcdonald | Counselor | 1592 Joselin Rd, Dayton, OH 45432-3647 | 2019-09-09 |
| 1730746942 | Kimberly Billingsley | Counselor | 212 N Orchard Ave, Dayton, OH 45417-2453 | 2019-05-22 |
| Find all providers in DAYTON | ||||
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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.