MR. BRENTOM E. JACKSON (NPI# 1134632441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134632441 |
| Entity Type | Individual |
| Full Name | MR. BRENTOM E. JACKSON |
| Credential | LPC |
| Practice Address |
6961 Ne Loop 820 Apt 423 North Richland Hills TX 76180-6694 |
| Practice Telephone | 5127863107 |
| Mailing Telephone | 5127863107 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
68645 | TX | Behavioral Health & Social Service Providers |
| Street Address |
6961 NE LOOP 820 APT 423 |
| City | NORTH RICHLAND HILLS |
| State | TX |
| Zip Code | 76180-6694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057602 | Heather Penka | Preventive Medicine | 820 Holiday Ln, North Richland Hills, TX 76180 | 2019-11-07 |
| 1093273781 | Southwest Vascular P.C. | Surgery | 4375 Booth Callaway Suite 501, Fort Worth, TX 76180 | 2019-03-12 |
| 1871063644 | Christina Luu | Physician Assistant | 4300 City Point Dr Ste 102, North Richland Hills, TX 76180 | 2018-12-04 |
| 1578042917 | Marcos H Guerra | Licensed Vocational Nurse | 4525 City Point Drive, North Richland Hills, TX 76180 | 2018-08-07 |
| 1760975247 | Alliancestar One LLC | Durable Medical Equipment & Medical Supplies | 6719 Mid-cities Blvd, North Richland Hills, TX 76180 | 2018-06-11 |
| 1710486196 | Kayan K Reno | Home Health | 5608 Davis Blvd, North Richland Hills, TX 76180 | 2018-02-12 |
| 1184133209 | Sonja Jackson | Counselor | 2214 Michigan Ave Suite F, Arlington, TX 76180 | 2017-09-20 |
| 1821512880 | Robin Wray Manley | Registered Nurse | 5117 Maryanna Way, North Richland Hills, TX 76180 | 2017-08-01 |
| 1487195442 | D3 Medical | Durable Medical Equipment & Medical Supplies | 5424 Rufe Snow #502, North Richland Hills, TX 76180 | 2017-03-10 |
| 1629510474 | Helping Hands Ministry of Richland Hills | Public Health or Welfare | 7294 Gleview Drive, Richland Hills, TX 76180 | 2016-11-10 |
| Find all providers in zip 76180 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240600 | Michele Lee Mcgrane | Counselor | 4204 Vance Rd, North Richland Hills, TX 76180-8662 | 2020-03-15 |
| 1326672429 | Amy Cherie Miller | Counselor | 6922 Crystal Ln, North Richland Hills, TX 76182-3635 | 2020-02-27 |
| 1235771817 | Lisa Renee Loper | Counselor | 5750 Rufe Snow Dr Ste 124, North Richland Hills, TX 76180-6156 | 2019-10-15 |
| 1518519628 | Bryan Jason Brown | Counselor | 8801 Mid Cities Blvd, North Richland Hills, TX 76182-4821 | 2019-07-10 |
| 1982117990 | Stephen Coxsey | Counselor | 8621 Mid-cities Blvd, Ste. 100, North Richland Hills, TX 76182 | 2017-11-13 |
| 1750838314 | Lisa Brennan | Counselor | 8609 Mid Cities Blvd Ste 100, North Richland Hills, TX 76182-4723 | 2016-09-01 |
| 1811327976 | Chase Wade | Counselor | 6041 Walker Blvd, L133, North Richland Hills, TX 76180 | 2013-11-26 |
| 1194073122 | Ginny M Hunsucker | Counselor | 8500 Harwood Rd, 6414, North Richland Hills, TX 76180-7581 | 2012-08-23 |
| 1770869489 | Ottis Samuel Goodwin | Counselor | 8528 Newman Drive, North Richland Hills, TX 76180 | 2011-10-26 |
| 1396923066 | Sandy Freeman Allred | Counselor | 6250 Ne Loop 820, North Richland Hills, TX 76180-7842 | 2008-02-05 |
| Find all providers in NORTH RICHLAND HILLS | ||||
| City | NORTH RICHLAND HILLS |
| Zip Code | 76180 |
Please comment or provide details below to improve the information on MR. BRENTOM E. 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.