MISS JACKIE P POLLARD (NPI# 1932206513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932206513 |
| Entity Type | Individual |
| Full Name | MISS JACKIE P POLLARD |
| Credential | LPC, LMFT, MAC,NCC |
| Practice Address |
107 W Ellerslie Ave Colonial Heights VA 23834-1513 |
| Mailing Address |
Po Box 276 Colonial Heights VA 23834-0276 |
| Practice Telephone | 8045201655 |
| Practice Fax Number | 8045208595 |
| Mailing Telephone | 8045201655 |
| Mailing Fax Number | 8045208595 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC1900X |
Psychologist Specialization: Counseling |
0701001792 | VA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 0717000056 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA BEHAVIORAL HEALTH | 085513 | 01 |
| VA | VALUE OPTIONS NUMBER | 059404 | 01 |
| VA | ANTHEM PROVIDER NUMBER | 106008 | 01 |
| VA | MHN/TRICARE | 246353 | 01 |
| VA | 5400091 | 05 | |
| VA | UNITED HEALTH CARE/UBH | 184246 | 01 |
| VA | AETNA PROVIDER NUMBER | 5906567 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689197725 | Jackie L Pollard | Counselor | 1867 W Market St, Akron, OH 44313-6901 | 2017-07-20 |
| Street Address |
107 W ELLERSLIE AVE |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235363037 | Kendra Lynn Pugh | Psychologist | 107 W Ellerslie Ave, Colonial Heights, VA 23834-1513 | 2009-05-07 |
| 1750463618 | Associates In Counseling and Family Therapy, Inc | Counselor | 107 W Ellerslie Ave, Colonial Heights, VA 23834-1513 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922342 | Ashli Gregory | Psychologist | 10059 Craftons Gate Hwy, Drakes Branch, VA 23937-2647 | 2020-11-04 |
| 1750980421 | Chad Olle | Psychologist | 1020 N Highland St Unit 817, Arlington, VA 22201-2187 | 2020-10-22 |
| 1205447935 | Annalucia Bays | Psychologist | 6005 Fox Den, Williamsburg, VA 23188-7363 | 2020-08-15 |
| 1295356681 | Lina Liw | Psychologist | 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030-2432 | 2020-04-27 |
| 1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
| 1467003715 | Kelly Deneen Heinzman | Psychologist | 1101 Wilson Blvd, Arlington, VA 22209-2211 | 2019-09-26 |
| 1740742345 | James Partch Jr. | Psychologist | 705 Donnington Dr, Chesapeake, VA 23322-7715 | 2019-04-02 |
| 1437642527 | Lauren Beam Ottenhoff | Psychologist | 133 Park St Ne Ste 3b, Vienna, VA 22180-4666 | 2018-06-13 |
| 1710491923 | Saman Berenji | Psychologist | 15 Priscilla Rd, Unit 3, Boston, VA 02135-2019 | 2017-11-27 |
| 1770016461 | Three Leaves Psychological Services LLC | Psychologist | 11307 Sunset Hills Rd, B-4, Reston, VA 20190-5278 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on MISS JACKIE P POLLARD.
| 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.