KELSI NICOLE JACKSON (NPI# 1144839036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144839036 |
| Entity Type | Individual |
| Full Name | KELSI NICOLE JACKSON |
| Credential | LPC |
| Practice Address |
3636 N Macarthur Blvd Ste 160 Irving TX 75062-3601 |
| Mailing Address |
8218 San Jose St Arlington TX 76002-3795 |
| Practice Telephone | 9723751200 |
| Mailing Telephone | 2145527533 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
79735 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535976 | Kelsi M Jackson | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2019-02-22 |
| Street Address |
3636 N MACARTHUR BLVD STE 160 |
| City | IRVING |
| State | TX |
| Zip Code | 75062-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754670 | Danielle Moreno | Counselor | 3636 N Macarthur Blvd Ste 160, Irving, TX 75062-3601 | 2019-01-14 |
| 1730727363 | Florence O Osuofa | Counselor | 3636 N Macarthur Blvd Ste 160, Irving, TX 75062-3601 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062141 | Douglas Paul Cope | Counselor | 4401 N State Highway 161, Irving, TX 75038-1463 | 2020-08-06 |
| 1669091724 | Nichelle Baly | Counselor | 6223 Love Dr Apt 2033, Irving, TX 75039-4032 | 2020-04-09 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1114569209 | Symbios Integrative Health LLC | Counselor | 415 E Airport Fwy Ste 150, Irving, TX 75062-6350 | 2019-10-10 |
| 1780144352 | Heidi Castaneda | Counselor | 600 E John Carpenter Fwy Ste 206, Irving, TX 75062-3979 | 2019-03-20 |
| 1174080865 | Misagh Rad | Counselor | 4425 W Airport Fwy Ste 210, Irving, TX 75062-5853 | 2019-02-28 |
| 1578028577 | Breathe Balance Counseling, Pllc | Counselor | 1303 W Walnut Hill Ln Ste 232, Irving, TX 75038-2905 | 2019-02-04 |
| 1376096727 | Anna Katherine Wiebold | Counselor | 4425 W Airport Fwy Ste 244, Irving, TX 75062-5958 | 2016-08-02 |
| 1508211863 | Leigh E Richardson | Counselor | 1215 Kinwest Pkwy Ste 120, Irving, TX 75063-3403 | 2016-04-24 |
| 1598124844 | Bissera Nitchovska | Counselor | 1526 Regina Ct S, Irving, TX 75062-4359 | 2016-02-15 |
| Find all providers in IRVING | ||||
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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.