WILLIE LEE JACKSON JR. (NPI# 1013143395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013143395 |
| Entity Type | Individual |
| Full Name | WILLIE LEE JACKSON JR. |
| Practice Address |
157 Santa Barbara Plz Los Angeles CA 90008-2508 |
| Practice Telephone | 3232932717 |
| Mailing Telephone | 3232932717 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |
| 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) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841571478 | Willie Pearl Jackson | Behavioral Analyst | 5304 Roseland Ave, Las Vegas, NV 89130-2635 | 2011-09-09 |
| 1073754065 | Willie Mae Jackson | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2009-03-20 |
| 1477687598 | Willie Jackson | Social Worker | 660 Park St, Jacksonville, FL 32204-2933 | 2007-03-14 |
| 1447349436 | Willie D Jackson | Counselor | 11301 Wilshire Blvd, Bldg 206 Room 24, Los Angeles, CA 90073-1003 | 2006-10-11 |
| 1043312960 | Willie Mae Jackson | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-09-01 |
| Street Address |
157 SANTA BARBARA PLZ |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043489230 | Angela Denise Eskridge | Counselor | 157 Santa Barbara Plz, Los Angeles, CA 90008-2508 | 2008-02-21 |
| 1023244308 | Francisco Elumba Olivera Jr. | Counselor | 157 Santa Barbara Plz, Los Angeles, CA 90008-2508 | 2009-06-01 |
| 1164691093 | Michael Louis Hudspeth Sr. | Counselor | 157 Santa Barbara Plz, Los Angeles, CA 90008-2508 | 2008-02-25 |
| 1750550752 | Monica R Guthrie | Community/Behavioral Health | 157 Santa Barbara Plz, Los Angeles, CA 90008-2508 | 2008-02-22 |
| 1487823522 | The Solutions Alcohol & Drug Foundation | Community/Behavioral Health | 157 Santa Barbara Plz, Los Angeles, CA 90008-2508 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
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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.