GABRIELLE JACKSON (NPI# 1932563079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932563079 |
| Entity Type | Individual |
| Full Name | GABRIELLE JACKSON |
| Practice Address |
2300 Northpoint Pkwy Santa Rosa CA 95407-5004 |
| Practice Telephone | 7075715581 |
| Mailing Telephone | 7075715581 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912447921 | Gabrielle Jackson | Counselor | 115 Chase Rd Nw, Huntsville, AL 35811-1119 | 2017-02-24 |
| 1215594676 | Gabrielle Marie Jackson | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-05-21 |
| 1053879957 | Gabrielle Jackson | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2019-03-09 |
| 1790241339 | Gabrielle Jackson | Social Worker | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2019-02-19 |
| 1841797958 | Gabrielle Raquel Jackson | Counselor | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-04-06 |
| 1730632514 | Gabrielle Jackson | Dentist | Unc School of Dentistry, 330 Brauer Hall Dept. of Graduate Prosthodontics, Chapel Hill, NC 27599-0001 | 2016-07-28 |
| 1922459478 | Gabrielle Lorraine Jackson | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave Fl 2, Monrovia, CA 91016-3427 | 2016-06-27 |
| 1487651832 | Gabrielle K. Jackson | Family Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-06-30 |
| Street Address |
2300 NORTHPOINT PKWY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376617134 | David Patrick France | Marriage & Family Therapist | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2006-11-20 |
| 1942854203 | Thabiti Alii Terry | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2019-07-25 |
| 1316590425 | Carol Ann Brugger | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2019-07-17 |
| 1104332600 | Carolyn May Sandine | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2017-12-19 |
| 1740709435 | Caressa Bambi Hearp I | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2017-09-13 |
| 1881142248 | Kyrsten Marie Martinez | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407 | 2016-09-14 |
| 1538506050 | Sheila Rae Davis | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2013-05-23 |
| 1518208859 | Alex Goodwin | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2013-03-12 |
| 1285932970 | Doris Ann Lassiter | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2011-03-04 |
| 1356570337 | Patrick Wayne Mccully | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506381 | Shauna Rose Hamilton | Counselor | 831 Howard St, Santa Rosa, CA 95404-3714 | 2020-04-13 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
| 1780036780 | Brittany Leigh Ratiani | Counselor | 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 | 2016-07-01 |
| 1912378381 | Deborah Dooley | Counselor | 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 | 2015-10-12 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1265808976 | Wilton Hall IIi | Counselor | 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 | 2015-08-17 |
| 1154752244 | Tara Farrell | Counselor | 123 General Delivery, Santa Rosa, CA 95402-9999 | 2013-11-27 |
| 1225463128 | Laura May | Counselor | 757 Beaver St, Santa Rosa, CA 95404-3755 | 2013-09-10 |
| 1427482348 | Eden Rose Lebold | Counselor | 1230 Impala Ct, Santa Rosa, CA 95405-7323 | 2013-08-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.