JONATHAN L JACKSON (NPI# 1205158730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205158730 |
| Entity Type | Individual |
| Full Name | JONATHAN L JACKSON |
| Credential | LPC |
| Practice Address |
1104a S Main St Lexington NC 27292-3134 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3362522450 |
| Mailing Telephone | (704) 939-1100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
9641 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 E 1st Avenue Ext, Lexington, NC 272923368 | 3362422450 | 3362499920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1659659621 | Jonathan Brian Jackson | Dentist | 422 1/2 Violet Ave, Monrovia, CA 91016-6731 | 2011-07-25 |
| 1295354660 | Jonathan Jackson | Licensed Vocational Nurse | 8700 Crownhill Blvd, San Antonio, TX 78209-1136 | 2020-04-15 |
| 1033772603 | Jonathan William Jackson | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-04-18 |
| 1790029171 | Jonathan Levi Jackson | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2012-11-26 |
| 1164713467 | Jonathan Jackson | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2011-04-21 |
| 1295062792 | Jonathan Mark Jackson | Physical Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2009-11-05 |
| 1891954566 | Jonathan D Jackson | Dentist | 335 E 400 S, Springville, UT 84663-1959 | 2008-06-06 |
| 1629273735 | Jonathan Wesley Jackson | Nurse Anesthetist, Certified Registered | 500 Lauchwood Drive, Laurinburg, NC 28352-5501 | 2007-06-19 |
| 1467577700 | Jonathan M Jackson | Psychologist | 140 Riverside Drive, 1r, New York, NY 10024 | 2007-03-19 |
| Street Address |
1104A S MAIN ST |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709206 | Cheryl V Rozanov | Psychiatry & Neurology | 1104a S Main St, Daymark Recovery Services Inc, Lexington, NC 27292-3134 | 2006-06-15 |
| 1083254270 | Brandy Rae Carlton | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2020-01-15 |
| 1679121123 | Stephanie Yvette Adkins | Licensed Practical Nurse | 1104a S Main St, Lexington, NC 27292-3134 | 2019-08-28 |
| 1720646474 | Anita Sumner Lee | Clinical Nurse Specialist | 1104a S Main St, Lexington, NC 27292-3134 | 2019-05-29 |
| 1346703691 | Valerie Lynn Johns | Licensed Practical Nurse | 1104a S Main St, Lexington, NC 27292-3134 | 2019-04-12 |
| 1184108201 | Wendy Michelle Lyerly | Clinical Nurse Specialist | 1104a S Main St, Lexington, NC 27292-3134 | 2018-09-25 |
| 1396230207 | Scott D Haskins II | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2018-06-25 |
| 1679060446 | Christin Esther Clercin | Counselor | 1104a S Main St, Lexington, NC 27292 | 2018-04-17 |
| 1710482328 | Huldah Norma Jo Johnson | Licensed Practical Nurse | 1104a S Main St, Lexington, NC 27292-3134 | 2018-03-26 |
| 1194225813 | Chasity Rose Bailey | Clinical Nurse Specialist | 1104a S Main St, Lexington, NC 27292-3134 | 2018-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1447871199 | Hadassah Gomez | Counselor | 119 Brookside Pkwy, Lexington, SC 29072-4234 | 2020-05-05 |
| 1215560479 | Mary Elizabeth Ford | Counselor | 130 Gibson Rd, Lexington, SC 29072-3429 | 2020-02-17 |
| 1689205809 | Jonathan Mitchell, LLC | Counselor | 3175 Custer Dr Ste 303, Lexington, KY 40517-4023 | 2020-01-27 |
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1932679826 | Carrie Ann Corbett | Counselor | 160 Moore Dr Ste 201, Lexington, KY 40503-2936 | 2018-12-04 |
| Find all providers in LEXINGTON | ||||
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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.