NATASHA V JACKSON (NPI# 1952641805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952641805 |
| Entity Type | Individual |
| Full Name | NATASHA V JACKSON |
| Practice Address |
180 Sheppard Rd Ste 115 Jackson MS 39206-4033 |
| Mailing Address |
455 Crossgates Blvd Apt 226 Brandon MS 39042-2560 |
| Practice Telephone | 6018136141 |
| Mailing Telephone | 6018136141 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C8125 | MS | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C8125 | MS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3450 Highway 80 W, Jackson, MS 392097201 | 6013212400 | 6013212476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059040 | Natasha Jackson | Counselor | 1302 Willow St, Greenville, NC 27858-1405 | 2018-10-15 |
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1598113680 | Natasha Jackson | Technician, Other | 16175 Collinson Ave, Eastpointe, MI 48021-3653 | 2016-05-30 |
| 1336520030 | Natasha Jackson | Licensed Practical Nurse | 185 Kosciuszko St, Apt 1d, Brooklyn, NY 11216-1042 | 2015-06-18 |
| 1326446428 | Natasha Jackson | Massage Therapist | 2930 Harvey St, Rochester Hills, MI 48309-3641 | 2014-12-05 |
| 1265845960 | Natasha Jackson | Home Health Aide | 1061 Southern Blvd Nw, Warren, OH 44485-2245 | 2014-06-10 |
| 1881220879 | Natasha C Jackson | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-03-21 |
| 1730647009 | Natasha Jackson | Social Worker | 2506 Willowbrook Pkwy Ste 102, Indianapolis, IN 46205-1542 | 2019-03-06 |
| 1164997227 | Natasha Monique Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2018-10-04 |
| 1427563253 | Natasha Jackson | Counselor | 1144 Coolidge Blvd Ste C, Lafayette, LA 70503 | 2017-12-01 |
| Street Address |
180 SHEPPARD RD STE 115 |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
| 1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
| 1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
| 1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
| 1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
| 1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
| 1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
| Find all providers in JACKSON | ||||
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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.