JESSIE LEE JACKSON (NPI# 1992042394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992042394 |
| Entity Type | Individual |
| Full Name | JESSIE LEE JACKSON |
| Credential | LPC |
| Practice Address |
2685 Armstrong Rd Wooster OH 44691 |
| Mailing Address |
956 Marilyn Dr Wooster OH 44691-1416 |
| Practice Telephone | 3303457949 |
| Mailing Telephone | 3309333935 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.0900273 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093259343 | Jessie Kennedy Jackson | Contractor | 43 K St Nw Unit 316, Washington, DC 20001-2980 | 2016-12-06 |
| 1497018253 | Jessie Jackson | Behavioral Analyst | 4229 Octans St, North Las Vegas, NV 89032-0748 | 2012-06-18 |
| 1104908417 | Jessie R Jackson | Respite Care | 9855 E Irvington Rd, Unit #82, Tucson, AZ 85730-5220 | 2006-10-19 |
| Street Address |
2685 ARMSTRONG RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694590 | Christian Children's Home of Ohio | Clinic/Center | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2006-07-04 |
| 1851998314 | Amber Mcclain | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-10-07 |
| 1598371825 | Brad Jarvis | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-22 |
| 1033724547 | Hallie Adcock | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-11 |
| 1760097380 | Levi Sprowls | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-10 |
| 1154936763 | Noah Fetzer | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-10 |
| 1851905517 | Ashley Elizabeth Martinus | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-01 |
| 1770195265 | Markus Smith | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-08-18 |
| 1619585163 | Sarah Elizabeth Butti | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-07-21 |
| 1881219202 | Brandi Keith | Licensed Practical Nurse | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171302 | Regain Life Balance LLC | Counselor | 146 E Liberty St Ste 20, Wooster, OH 44691-4372 | 2019-06-02 |
| 1538615323 | Mychael Pope | Counselor | 737 S Firestone Rd, Wooster, OH 44691-9314 | 2016-08-31 |
| 1043675937 | Jenny Preston | Counselor | 127 E Liberty St Ste 360, Wooster, OH 44691-4396 | 2015-12-21 |
| 1740477744 | Tracie Lynn Giffin | Counselor | 625 N Grant St, Wooster, OH 44691-2822 | 2007-10-03 |
| 1972790202 | Leslie B. Feder | Counselor | 1515 Oak Hill Rd, Wooster, OH 44691-1437 | 2007-10-01 |
| 1770778581 | Daniel Stavnezer | Counselor | 558 N Market St Ste A, Wooster, OH 44691-3406 | 2007-09-14 |
| 1316037609 | Vincent Didato | Counselor | 132 S Market St, Suite 201, Wooster, OH 44691-4765 | 2006-10-15 |
| 1104448786 | Nicole Holman | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2020-05-18 |
| 1184262081 | Julie Carlson | Counselor | 104 Spink Street, Wooster, OH 44691 | 2019-12-11 |
| 1336700442 | Nicole E Bunker | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2019-06-28 |
| Find all providers in WOOSTER | ||||
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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.