DR. CHRISTINA JACKSON (NPI# 1073089702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073089702 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA JACKSON |
| Credential | PHD |
| Practice Address |
17 N Dearborn St Chicago IL 60602-4310 |
| Mailing Address |
110 N Kenilworth Ave Apt 3d Oak Park IL 60301-1215 |
| Practice Telephone | 3126624305 |
| Mailing Telephone | 3128043965 |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2018-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936278 | Christina Jackson | Registered Nurse | 3004 Berkshire Ln, Corinth, TX 76210-1730 | 2018-09-18 |
| 1114307766 | Christina Lynn Jackson | Student in an Organized Health Care Education/Training Program | 701 N Senate Ave, Indianapolis, IN 46202-3111 | 2015-06-08 |
| 1922236876 | Christina Elizabeth Jackson | Speech-Language Pathologist | 6240 Hackberry Creek Trl, Apt. # 324, Charlotte, NC 28269-0468 | 2009-06-30 |
| 1336287234 | Christina M Jackson | Physical Therapist | 2312 Bennett Ave, Point Pleasant, NJ 08742 | 2007-02-02 |
| 1619065182 | Christina E Jackson | Registered Nurse | 675 North University Blvd, Middletown, OH 45042 | 2006-10-10 |
| 1912519638 | Christina Renee Jackson | Physical Therapy Assistant | 21044 95th Ave S, Boca Raton, FL 33428-1500 | 2020-08-24 |
| 1477193811 | Christina M Jackson | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2020-01-14 |
| 1700383130 | Christina Jackson | Case Manager/Care Coordinator | 3100 E 45th St, Cleveland, OH 44127-1088 | 2018-04-11 |
| 1841716313 | Christina Renee' Jackson | Case Manager/Care Coordinator | 2525 Youree Dr Ste 110, Shreveport, LA 71104 | 2017-08-16 |
| 1558892547 | Christina Marie Jackson | Occupational Therapist | 705 17th St, Suite 407, Columbus, GA 31901 | 2017-03-22 |
| Street Address |
17 N DEARBORN ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891833711 | Leigh Johnson-migalski | Psychologist | 17 N Dearborn St, 1500, Chicago, IL 60602-4310 | 2007-02-02 |
| 1952941403 | Melamed Counseling | Clinic/Center | 17 N Dearborn St, Chicago, IL 60602-4310 | 2020-01-13 |
| 1689140253 | Jennifer Anne Ridder | Counselor | 17 N Dearborn St, Chicago, IL 60602-4310 | 2018-10-22 |
| 1730682063 | Rabiatu Barrie | Psychologist | 17 N Dearborn St, Chicago, IL 60602-4310 | 2018-03-13 |
| 1174040976 | Isha D Williams | Marriage & Family Therapist | 17 N Dearborn St, Chicago, IL 60602-4310 | 2017-08-23 |
| 1801340278 | Danielle Bridges | Student in an Organized Health Care Education/Training Program | 17 N Dearborn St, Chicago, IL 60602-4310 | 2016-08-15 |
| 1326414020 | Justin Lauka | Counselor | 17 N Dearborn St, Chicago, IL 60602-4310 | 2015-08-17 |
| 1558741322 | Joshua R Wolff | Psychologist | 17 N Dearborn St, Chicago, IL 60602-4310 | 2015-06-05 |
| 1609203454 | Adler University | Clinical Neuropsychologist | 17 N Dearborn St, Chicago, IL 60602-4310 | 2013-10-10 |
| 1407288566 | Steve Nicholas Du Bois | Psychologist | 17 N Dearborn St, Chicago, IL 60602-4310 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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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.