JACOB JERRY JACKSON (NPI# 1003366329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003366329 |
| Entity Type | Individual |
| Full Name | JACOB JERRY JACKSON |
| Practice Address |
1700 Helmer St Sioux City IA 51103-2834 |
| Practice Telephone | 7122231082 |
| Mailing Telephone | 7122231082 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15081 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162905 | Jacob S Jackson | Physical Therapist | 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | 2019-03-08 |
| 1134629405 | Jacob Jackson | Registered Nurse | 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 | 2018-02-13 |
| 1568812683 | Jacob Jackson | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
| 1861832644 | Jacob Jackson | Surgery | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2013-06-26 |
| 1588907240 | Jacob Cole Jackson | Student in an Organized Health Care Education/Training Program | 525 E 68th St, Box 124, New York, NY 10065-4870 | 2013-04-01 |
| 1831316892 | Jacob Anthony Jackson | Family Medicine | 10800 Magnolia Ave, Family Medicine, Riverside, CA 92505-3043 | 2007-04-19 |
| Street Address |
1700 HELMER ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51103-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770966491 | Jackson Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 3500 West 4th Street, Sioux City, IA 51103 | 2015-06-30 |
| 1740685361 | Juliet Emerald Brinkman | Registered Nurse | Unity Point, Siouxland Pace- 1200 Tri View Ave, Sioux City, IA 51103 | 2014-10-24 |
| 1295197374 | Jamaine Wamberg | Counselor | 3320 W 4th St, Sioux City, IA 51103 | 2016-03-28 |
| 1477789311 | Amy Christine Bloch | Social Worker | 1601 Military Road, Sioux City, IA 51103 | 2009-06-05 |
| 1891755906 | Julie A. Elbert | Social Worker | 1601 Military Road, Sioux City, IA 51103 | 2006-03-23 |
| 1497720544 | Rhonda Jane Brown | Counselor | 1601 Military Road, Sioux City, IA 51103 | 2006-02-22 |
| 1235332123 | Lunchtime Solutions, Inc. | Home Delivered Meals | 3100 West Fourth Street, Sioux City, IA 51103-0100 | 2007-06-07 |
| 1871938738 | Lisa Marie Theisen | Specialist | 3090 Rebecca St, Sioux City, IA 51103-1458 | 2013-05-06 |
| 1013146315 | Lee and Associates Consultants LLC | Social Worker | 1608 Casselman, Sioux City, IA 51103-1628 | 2009-07-08 |
| 1508855271 | Holy Spirit Retirement Home Inc | Skilled Nursing Facility | 1701 W 25th St, Sioux City, IA 51103-1705 | 2005-10-17 |
| Find all providers in zip 51103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1699268326 | Richard W Mechikoff | Counselor | 800 5th St Ste 200, Sioux City, IA 51101-1324 | 2018-06-07 |
| 1679081194 | Morgan Marie O'hern | Counselor | 2801 S Glass St, Sioux City, IA 51106-3309 | 2018-01-18 |
| 1508212085 | Brianna Steffe | Counselor | 3200 W 4th St, Sioux City, IA 51103-3204 | 2016-05-13 |
| 1891157137 | Thomas Jaynes | Counselor | 1800 Grandview Blvd, Sioux City, IA 51105-1026 | 2016-03-25 |
| 1740642255 | Melissa Deroos | Counselor | 2309 Jackson St, Sioux City, IA 51104-3546 | 2016-03-23 |
| 1073975587 | Clint Eastling | Counselor | 2325 Douglas St, Sioux City, IA 51104-3830 | 2016-03-23 |
| 1467813477 | Julie Burke | Counselor | 3232 W 4th St, Sioux City, IA 51103-3204 | 2016-03-18 |
| 1124403654 | Nicole Anne Keegan | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2015-07-27 |
| 1063800456 | Whitney Ingram | Counselor | 4400 Morningside Ave, Sioux City, IA 51106-2950 | 2015-01-07 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51103 |
Please comment or provide details below to improve the information on JACOB JERRY 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.