LETITIA JACKSON (NPI# 1962651703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962651703 |
| Entity Type | Individual |
| Full Name | LETITIA JACKSON |
| Credential | LPC |
| Practice Address |
13731 E Rice Pl Ste 200 Aurora CO 80015-1077 |
| Practice Telephone | 7209491707 |
| Practice Fax Number | 2063923177 |
| Mailing Telephone | 7209491707 |
| Mailing Fax Number | 2063923177 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5045 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LPC LICENSE | 5045 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13731 E Rice Pl Ste 200, Aurora, CO 800151077 | 7209491707 | 2063923177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063812634 | Letitia Lynn Jackson | Nurse Practitioner | Rr 2 Box 317, Marlow, OK 73055-9675 | 2014-09-02 |
| 1053653857 | Letitia La'dawne Jackson | Licensed Practical Nurse | 1078 Billie Dr, Columbus, OH 43227-1402 | 2013-03-20 |
| 1790304681 | Letitia Jackson | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-10 |
| Street Address |
13731 E RICE PL STE 200 |
| City | AURORA |
| State | CO |
| Zip Code | 80015-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315935 | Krista L Kent | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2020-01-15 |
| 1083250039 | Reflective Wellness Mind and Body | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2019-11-25 |
| 1942762679 | Reflective Resource Center | Clinic/Center | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2019-04-02 |
| 1174010821 | Kyle Woodson | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2018-04-18 |
| 1952800492 | Brianna Keller | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2018-02-11 |
| 1679012140 | Caroline Scott | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2017-02-17 |
| 1477007813 | Reflective Wellness | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1063 | 2016-08-14 |
| 1902263296 | Diana Weyn Gonzalez | Counselor | 13731 E Rice Pl Ste 200, Aurora, CO 80015-1077 | 2016-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1578192555 | Erin L Graves | Counselor | 13791 E Rice Pl Ste 115, Aurora, CO 80015-1079 | 2020-04-02 |
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1356985071 | Richard Yeager | Counselor | 2851 S Parker Rd Ste 1040, Aurora, CO 80014-2723 | 2019-11-06 |
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1477037729 | Melanie J Hart | Counselor | 23548 E Ottawa Pl, Aurora, CO 80016-4242 | 2018-09-22 |
| 1679056063 | Elisabeth Anne Kaplan | Counselor | 1329 N Lake St, Aurora, IL 60506-2409 | 2018-09-11 |
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1649771148 | Zachary N. Meers | Counselor | 4255 Westbrook Dr Ste 206, Aurora, IL 60504-8125 | 2018-02-21 |
| 1205349701 | Nicole Mahan | Counselor | 2067 Stephen St, Aurora, IL 60502-7173 | 2017-11-07 |
| Find all providers in AURORA | ||||
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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.