DR. DANIELLA JACKSON (NPI# 1205487006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205487006 |
| Entity Type | Individual |
| Full Name | DR. DANIELLA JACKSON |
| Credential | PH.D, LMHC |
| Practice Address |
7813 Mitchell Blvd Ste 106 New Port Richey FL 34655-4723 |
| Practice Telephone | 7277679850 |
| Practice Fax Number | 7277679851 |
| Mailing Telephone | 7277679850 |
| Mailing Fax Number | 7277679851 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11216 | FL | Behavioral Health & Social Service Providers |
| Street Address |
7813 MITCHELL BLVD STE 106 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096642 | Jessica Gagliardo | Counselor | 4635 Rowan Rd Apt 614, New Port Richey, FL 34653-5604 | 2020-02-27 |
| 1487201919 | Eric Jermaine Oliver Sr. | Counselor | 11835 Cassandra St Unit 101, New Port Richey, FL 34654-1533 | 2019-08-20 |
| 1134695257 | Bridget Gallagher | Counselor | 7663 Cita Ln, New Port Richey, FL 34653-6222 | 2018-10-16 |
| 1164919189 | Shavonne Yolanda Rich | Counselor | 7340 Little Rd Ste 102, New Port Richey, FL 34654-5532 | 2018-04-16 |
| 1407208762 | Lynette Michelle Maggs | Counselor | 7929 Deer Foot Dr, New Port Richey, FL 34653-5008 | 2016-07-11 |
| 1932569167 | Lori Stone | Counselor | 7730 Howley Ln, New Port Richey, FL 34654-5878 | 2016-03-01 |
| 1104297738 | Cassandra's Counseling | Counselor | 7620 Congress St, New Port Richey, FL 34653-1108 | 2015-10-08 |
| 1699155184 | Chad Exceen | Counselor | 8002 King Helie Blvd., Baycare Behavioral Health, New Port Richey, FL 34653 | 2015-06-01 |
| 1982098661 | Maureen A Yates | Counselor | 7795 Hardaway Dr Apt C, New Port Richey, FL 34653-6880 | 2015-03-20 |
| 1255723516 | Julia Bartunek | Counselor | 2645 Meadowood Dr, New Port Richey, FL 34655-3706 | 2015-02-24 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
Please comment or provide details below to improve the information on DR. DANIELLA 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.