LAKEESHA JACKSON (NPI# 1194388504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194388504 |
| Entity Type | Individual |
| Full Name | LAKEESHA JACKSON |
| Practice Address |
153 Hazard Ave Ste 401 Enfield CT 06082-4592 |
| Mailing Address |
2 Waterside Xing Ste 401 Windsor CT 06095-1587 |
| Practice Telephone | 8602535020 |
| Practice Fax Number | 8602535030 |
| Mailing Telephone | 8607315522 |
| Mailing Fax Number | 8607315536 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
153 HAZARD AVE STE 401 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936981 | Elizabeth Culhane | Counselor | 153 Hazard Ave Ste 204, Enfield, CT 06082-4592 | 2016-12-08 |
| 1972055374 | Natalie Patricia Conley | Counselor | 4 William Street Ext, Enfield, CT 06082-2926 | 2016-11-01 |
| 1881295236 | Travis Cooley | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-11-03 |
| 1821603879 | Alexandria E Casertano | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-09-15 |
| 1811500564 | Olivia D Pace | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
| 1619580362 | Tiana J Mitchell | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
| 1548872799 | Jessica Lewis | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-19 |
| 1427672641 | Shanika Mckoy | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-06-03 |
| 1720613524 | Juliet Davis | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-03-12 |
| 1255966628 | Kewanda Lanham | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-03-06 |
| Find all providers in ENFIELD | ||||
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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.