LAKEESHA JACKSON


Address: 153 Hazard Ave Ste 401, Enfield, CT 06082-4592
Phone: 8602535020

LAKEESHA JACKSON (NPI# 1194388504) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 153 HAZARD AVE STE 401
City ENFIELD
State CT
Zip Code 06082-4592

Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ENFIELD
Zip Code 06082

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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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