REGINALD JACKSON (NPI# 1932517695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932517695 |
| Entity Type | Individual |
| Full Name | REGINALD JACKSON |
| Practice Address |
587 Middle Tpke E Manchester CT 06040-3731 |
| Practice Telephone | 8606463888 |
| Practice Fax Number | 8606454132 |
| Mailing Telephone | 8606463888 |
| Mailing Fax Number | 8606454132 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530104 | Reginald P Jackson | Social Worker | 4081 Southwick Drive, 3rd Floor, Matteson, IL 60443-6044 | 2020-05-22 |
| 1396236410 | Reginald Courtney Jackson | Case Manager/Care Coordinator | 1302 Waugh Dr # 834, Houston, TX 77019-3908 | 2018-05-24 |
| 1295891562 | Reginald Jackson | Counselor | 7425 Edward St, New Orleans, LA 70126-2013 | 2006-12-29 |
| 1619505021 | Reginald Jackson | Behavior Technician | 3000 Latrobe Dr, Charlotte, NC 28211-5226 | 2020-03-31 |
| 1750618336 | Reginald Christopher Jackson | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2009-11-03 |
| 1154427615 | Reginald Roberts Jackson | Internal Medicine | 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 | 2006-09-15 |
| Street Address |
587 MIDDLE TPKE E |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891734216 | Julie Hurley | Clinical Nurse Specialist | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2006-06-05 |
| 1275985863 | Gabriela Gatica | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-07-07 |
| 1639520828 | Amanda Brozowsky | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-06-29 |
| 1255792891 | Carrie Robinson | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-03-10 |
| 1124485867 | Marta Katarzyna Lachcik | Pharmacist | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2016-01-26 |
| 1831554443 | Kriston Leverone | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-12-24 |
| 1346613841 | Brittney Bouier | Student in an Organized Health Care Education/Training Program | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-11-05 |
| 1043689094 | Jeremy Halek | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-09-21 |
| 1881063170 | Novelette Brown | Student in an Organized Health Care Education/Training Program | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-09-17 |
| 1013386382 | Sarah Perez | Student in an Organized Health Care Education/Training Program | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800497 | Meghan N Braley | Counselor | 13 Ancient County Way, Manchester, MA 01944-1247 | 2020-08-07 |
| 1154930600 | Lillian Sarah Pernoud | Counselor | 734 Chancellor Heights Dr, Manchester, MO 63011-3577 | 2020-07-29 |
| 1962026252 | Andrea Rose Mitchell | Counselor | 250 Commercial St Ste 2020, Manchester, NH 03101-1118 | 2020-06-02 |
| 1487115853 | Resilience & Hope LLC | Counselor | 66 Hanover St Ste 200, Manchester, NH 03101-2230 | 2019-03-28 |
| 1710441209 | Karen Ann Fontaine | Counselor | 87 Phelps Rd, Manchester, CT 06042-3209 | 2019-01-29 |
| 1043792427 | The Lodge Counseling | Counselor | 270 Knowlton St, Manchester, NH 03103-2870 | 2018-09-03 |
| 1114440930 | Alisha Nicole Stewart | Counselor | 565 Muddy Gap Rd, Manchester, KY 40962-7279 | 2017-07-24 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1720527450 | Heather Ann Burgess | Counselor | 130 Old Essex Rd, Manchester, MA 01944-1208 | 2017-02-14 |
| 1689113318 | Elizabeth Diaz | Counselor | 510 Wellington Hill Rd, Manchester, NH 03104-6461 | 2017-02-14 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on REGINALD JACKSON.
| 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.