NICOLE L. JACKSON


Address: 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056
Phone: (414) 604-6488

NICOLE L. JACKSON (NPI# 1144489261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144489261
Entity Type Individual
Full Name NICOLE L. JACKSON
Credential CSAC, ICS, LPC-IT
Practice Address 6815 W Capitol Dr Ste 304
Milwaukee
WI 53216-2056
Practice Telephone (414) 604-6488
Mailing Telephone (414) 604-6488
Enumeration Date 2008-06-04
Last Update Date 2017-09-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 15477-135 Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15137-132 WI Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
638-226 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39175900 05

Other Providers NICOLE JACKSON

NPI Name Taxonomy Address Enumeration
1699184689 Nicole Jackson Specialist 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 2014-08-05
1053745521 Nicole L Jackson Counselor 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 2013-09-02
1245569276 Nicole Denise Jackson Licensed Practical Nurse 2122 Ridge Rd W, Rochester, NY 14626-2802 2009-12-22
1144559931 Nicole L Jackson Licensed Practical Nurse 18680 Main Street, Tontogany, OH 43565 2009-12-08
1124299680 Nicole Jackson Licensed Practical Nurse 1830 Southern Pkwy, Springfield, OH 45506-3115 2008-03-12
1578740023 Nicole Jackson Counselor 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 2008-01-28
1205999588 Nicole Lewis Jackson Dentist 3298 Northside Dr, Macon, GA 31210 2006-12-18
1104447275 Nicole Feliz Jackson Specialist/Technologist 1301 S Us Highway 377, Argyle, TX 76226-7744 2020-04-30
1023637220 Nicole Jackson Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-04-09
1609405539 Nicole Yvonne Jackson Licensed Practical Nurse 15 Frederick Ave, Akron, OH 44310-2904 2020-04-03

Office Location

Street Address 6815 W CAPITOL DR STE 304
City MILWAUKEE
State WI
Zip Code 53216-2056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295357291 Markeda Cain Social Worker 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 2020-05-12
1972806669 Stephany Pruitt Counselor 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 2010-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750906137 Lilshana Woods Technician 3946 N 52nd St, Milwaukee, WI 53216 2020-06-11
1063981710 Jon Maurice Smoots Prevention Professional 7710 W. Casper Street, Milwaukee, WI 53216 2018-11-23
1467948844 Alexcis Coleman Counselor 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 2018-07-09
1457841066 Rebeka Fried Occupational Therapist 3134 N 53rd St, Milwaukee, WI 53216 2018-05-18
1952831497 Nina Marie Evans Home Health Aide 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 2017-06-18
1578009080 Annette L Veasey Counselor 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 2017-01-09
1295277143 Gentle Hands Home Healthcare Home Health 6815 N. 68th Street, Milwaukee, WI 53216 2016-11-09
1639622780 Luisa Julia Morales Counselor 5228 Fond Du Lac Ave, Milwaukee, WI 53216 2016-07-25
1568811776 Eye-care Home Health Care In Home Supportive Care 6221 W Keefe Pkwy, Milwaukee, WI 53216 2016-06-08
1013382167 Helens Supportive Services Home Health 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 2015-12-01
Find all providers in zip 53216

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649879982 Veronicia S Green Counselor 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 2020-10-19
1932733193 1 Step Away Divine Counseling Service LLC Counselor 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 2020-02-26
1689216293 Carollyn Black Counselor 4892 N 19th St, Milwaukee, WI 53209-5757 2019-10-15
1861046146 Lisa Marie Ortiz Counselor 3336 S 76th St, Milwaukee, WI 53219-3805 2019-07-25
1891359576 Kenneth Ginlack Sr Consulting Services LLC Counselor 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 2019-04-27
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1992280218 Tanya Lynn Peters Counselor 9224 W Burleigh St, Milwaukee, WI 53222-3503 2018-10-02
1467948844 Alexcis Coleman Counselor 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 2018-07-09
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53216

Improve Information

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Dataset Information

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.

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