MICHAEL SCOTT JACKSON (NPI# 1962647107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962647107 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT JACKSON |
| Practice Address |
16940 Highway 14 Suite F Mojave CA 93501-1238 |
| Practice Telephone | 6618245020 |
| Practice Fax Number | 6618245026 |
| Mailing Telephone | 6618245020 |
| Mailing Fax Number | 6618245026 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |
| 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 |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1114441375 | Michael Frank Jackson Jr. | Physical Therapist | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2017-07-31 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1063809846 | Michael Jackson | Social Worker | 43518 Champlain Ct, Canton, MI 48188-1711 | 2015-04-20 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| Street Address |
16940 HIGHWAY 14 SUITE F |
| City | MOJAVE |
| State | CA |
| Zip Code | 93501-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841342045 | Norman Patrick Maclean | Counselor | 16940 Highway 14, Suite F, Mojave, CA 93501-1238 | 2007-01-17 |
| 1841835873 | Nicole S White-muhammed | Nurse's Aide | 16940 Highway 14, Mojave, CA 93501-1238 | 2019-11-13 |
| 1245898261 | Edward Amir Hillman | Peer Specialist | 16940 Highway 14, Mojave, CA 93501-1238 | 2019-06-04 |
| 1053857177 | Sarah Hanlin | Case Manager/Care Coordinator | 16940 Highway 14, Suite C, Mojave, CA 93501-1238 | 2017-01-12 |
| 1881143097 | Christina Mae Vanwey | Case Manager/Care Coordinator | 16940 Highway 14, C, Mojave, CA 93501-1238 | 2016-09-28 |
| 1518416973 | Heather Bishop | Case Manager/Care Coordinator | 16940 Highway 14, Suite C, Mojave, CA 93501-1238 | 2016-09-27 |
| 1770946386 | Mayola L. R. Pierro | Marriage & Family Therapist | 16940 Highway 14, Mojave, CA 93501-1238 | 2016-03-31 |
| 1194155739 | Cheyenne Anderson | Counselor | 16940 Highway 14, Mojave, CA 93501-1238 | 2013-11-18 |
| 1720411366 | Sean Theron Wilscam | Counselor | 16940 Highway 14, Ste. F, Mojave, CA 93501-1238 | 2013-08-19 |
| 1083056634 | Michael Annoreno | Counselor | 16940 Highway 14, Mojave, CA 93501-1238 | 2013-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247767 | Vilma Ruvalcaba | Case Manager/Care Coordinator | 16940 Hwy 14, C-j, Mojave, CA 93501 | 2017-07-14 |
| 1407378326 | Sabrina L Hall | Licensed Vocational Nurse | 16940 Hwy 14, Suites C-j, Mojave, CA 93501 | 2017-07-12 |
| 1295185890 | Mariana Lopez Calderon | Case Manager/Care Coordinator | 16940 Hwy 14 #c-j, Mojave, CA 93501 | 2016-06-15 |
| 1063874154 | Catlin Lovejoy | Licensed Vocational Nurse | 16940 Hwy 14, Suite #c-h, Mojave, CA 93501 | 2016-03-28 |
| 1306031489 | Joanna Lynn Easley | Counselor | 16949 Highway 14 Ste H, Mojave, CA 93501 | 2007-09-11 |
| 1619419561 | Lisa Brunsell | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501 | 2016-11-09 |
| 1912342148 | Antonio Montiel Jr. | Counselor | 16940 State Highway 14, Mojave, CA 93501 | 2013-05-01 |
| 1023165933 | Mojave Unified School District | Local Education Agency (LEA) | 3500 Douglas Ave, Mojave, CA 93501-1143 | 2007-01-04 |
| 1336433051 | Ashmead Ali | Clinic/Center | 16914 Highway 14, Mojave, CA 93501-1226 | 2011-05-31 |
| 1477613610 | Mojave Pharmacy Inc | Pharmacy | 16912 Highway 14, Mojave, CA 93501-1226 | 2006-12-11 |
| Find all providers in zip 93501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427276161 | Daniel Erik Grass | Counselor | 16940 State Highway 14 Ste H, Mojave, CA 93501-1238 | 2007-04-20 |
| 1093363566 | Willy Afid Ayala | Counselor | 16940 Highway 14 Ste F, Mojave, CA 93501-1238 | 2019-08-28 |
| 1982002887 | Kathleen Cochran | Counselor | 16940 Highway 14 Ste F, Mojave, CA 93501-1238 | 2014-12-09 |
| 1194155739 | Cheyenne Anderson | Counselor | 16940 Highway 14, Mojave, CA 93501-1238 | 2013-11-18 |
| 1720411366 | Sean Theron Wilscam | Counselor | 16940 Highway 14, Ste. F, Mojave, CA 93501-1238 | 2013-08-19 |
| 1083056634 | Michael Annoreno | Counselor | 16940 Highway 14, Mojave, CA 93501-1238 | 2013-07-24 |
| 1689916751 | John Darrell Haenny IIi | Counselor | 16940 Highway 14, Suite C, Mojave, CA 93501-1238 | 2013-03-26 |
| 1811245087 | Hannah Ricker | Counselor | 16940 Highway 14, Suite C-h, Mojave, CA 93501-1238 | 2012-08-20 |
| 1093062838 | Deborah Lynn Vaughn | Counselor | 16940 Highway 14, Suite C-h, Mojave, CA 93501-1238 | 2012-08-10 |
| 1649503301 | Suzanne M Sanchez | Counselor | 16940 Highway 14, Suite F, Mojave, CA 93501-1238 | 2009-09-14 |
| Find all providers in MOJAVE | ||||
Please comment or provide details below to improve the information on MICHAEL SCOTT 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.