VALENCIA JACKSON (NPI# 1184003642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184003642 |
| Entity Type | Individual |
| Full Name | VALENCIA JACKSON |
| Practice Address |
1125 West St Annapolis MD 21401-3607 |
| Mailing Address |
Po Box 2924 La Plata MD 20646-2984 |
| Practice Telephone | 3019044851 |
| Mailing Telephone | 3016099887 |
| Mailing Fax Number | 3106099091 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771536 | Valencia Jackson | Registered Nurse | 914 Thornbriar Ct, Hampton, VA 23661-1026 | 2019-10-08 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1447624606 | Valencia Marie Jackson | Counselor | 1010 N. Turner Ave, Unit 237, Ontario, CA 91764 | 2015-11-25 |
| Street Address |
1125 WEST ST |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295982122 | Courtney N Compagnone | Psychologist | 1125 West St, Suite 200, Annapolis, MD 21401-3607 | 2008-08-21 |
| 1891334546 | Care At Home Inc | Home Health | 1125 West St, Annapolis, MD 21401-4198 | 2019-12-28 |
| 1326608233 | Beth Diaite | Behavioral Analyst | 1125 West St, Annapolis, MD 21401-4198 | 2019-06-13 |
| 1124596606 | Five-star Integrated Health Services, LLC | Registered Nurse | 1125 West St, Annapolis, MD 21401-3607 | 2018-11-02 |
| 1376076513 | One All Therapy, LLC | Social Worker | 1125 West St, Suite 200, Annapolis, MD 21401-3607 | 2017-04-05 |
| 1417324641 | Christine Mcgowen | Counselor | 1125 West St, Annapolis, MD 21401-3607 | 2015-08-24 |
| 1477949642 | Diamonica Parker | Case Manager/Care Coordinator | 1125 West St, Annapolis, MD 21401-3607 | 2015-04-14 |
| 1356748966 | Center for Children, Inc. | Case Management | 1125 West St, Suite 200, Annapolis, MD 21401-3607 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233080 | Joia Patricia Felton | Counselor | 2445 Holly Ave Apt 223, Annapolis, MD 21401-3998 | 2020-10-22 |
| 1700484755 | Simone Behavioral Health | Counselor | 209 West St Ste 2015, Annapolis, MD 21401-3441 | 2020-10-13 |
| 1306450457 | Penumbra Counseling, LLC | Counselor | 2025 Harbour Gates Dr Apt 294, Annapolis, MD 21401-7507 | 2020-09-06 |
| 1801458757 | All Joshua, LLC | Counselor | 2568a Riva Rd Ste 202, Annapolis, MD 21401-7456 | 2019-07-01 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1346805884 | Susanna Cooper | Counselor | 170 Jennifer Rd Ste 202, Annapolis, MD 21401-3064 | 2019-05-09 |
| 1740750108 | Yusef Buchanan | Counselor | 420 Chinquapin Round Rd Ste 2l, Annapolis, MD 21401-4006 | 2018-11-28 |
| 1659859239 | Jasmine Quailey | Counselor | 1831 Forest Dr Ste H-2, Annapolis, MD 21401-4430 | 2018-08-05 |
| 1922551456 | Diane Bahr | Counselor | 8 Church Cir, 2a 53, Annapolis, MD 21401-1934 | 2016-08-02 |
| 1649620386 | Erin Beskid | Counselor | 209 West St Ste 201, Annapolis, MD 21401-3644 | 2016-06-14 |
| Find all providers in ANNAPOLIS | ||||
Please comment or provide details below to improve the information on VALENCIA 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.