KRISTINA JACKSON (NPI# 1235616863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235616863 |
| Entity Type | Individual |
| Full Name | KRISTINA JACKSON |
| Credential | LPCC |
| Practice Address |
762 Transfer Rd Ste 21 Saint Paul MN 55114-1489 |
| Mailing Address |
3606 55th Ave N Brooklyn Center MN 55429-3310 |
| Practice Telephone | 7637894895 |
| Practice Fax Number | 7637894798 |
| Mailing Telephone | 6125995471 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01611 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600770 | Kristina Jackson | Counselor | 5160 Dogwood Trl, Eight Mile, AL 36613-8505 | 2016-06-17 |
| 1083042345 | Kristina Yvette Jackson | Technician/Technologist | 16770 Pheasant Trail Pl, Strongsville, OH 44136-6369 | 2013-10-24 |
| 1023477114 | Kristina Jackson | Marriage & Family Therapist | 2309 Pacific Coast Hwy, Suite 102, Hermosa Beach, CA 90254-2751 | 2016-02-17 |
| 1689010738 | Kristina E Jackson | Family Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2013-05-16 |
| 1184966087 | Kristina Jackson | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-03-19 |
| 1225391006 | Kristina Ashley Jackson | Social Worker | 2928 W 36th St, Brooklyn, NY 11224-1410 | 2012-06-18 |
| 1780990531 | Kristina Janet Jackson | Student in an Organized Health Care Education/Training Program | 1145 Gayley Ave, Suite 322, Los Angeles, CA 90024-3423 | 2010-08-30 |
| 1558684183 | Kristina Gayle Jackson | Registered Nurse | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2010-03-10 |
| 1740350586 | Kristina G Jackson | Family Medicine | 480 Maple St, Danvers, MA 01923 | 2006-11-09 |
| 1821061474 | Kristina M Jackson | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2006-02-13 |
| Street Address |
762 TRANSFER RD STE 21 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437337656 | Mental Health Resources | Community/Behavioral Health | 762 Transfer Rd Ste 21, Saint Paul, MN 55114 | 2008-02-11 |
| 1720622996 | Jane Ann Welter-nolan | Psychologist | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-10-31 |
| 1285277053 | Brenda Cecilia Guzman Galicia | Counselor | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-10-23 |
| 1043852874 | Megan Jacobs | Social Worker | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-10-14 |
| 1457905481 | Alyson Calo | Social Worker | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-07-29 |
| 1962054205 | Lisa Rauschendorfer | Social Worker | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-07-16 |
| 1538711502 | Anna Schuette Raudenbush | Social Worker | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-07-10 |
| 1356903447 | Stephanie Kitzhaber | Social Worker | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-06-28 |
| 1326608639 | Cassandra L Kirby | Counselor | 762 Transfer Rd Ste 21, Saint Paul, MN 55114 | 2019-06-18 |
| 1154883007 | Eileen G Anderson LLC | Community/Behavioral Health | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386045 | Jill Thompson | Counselor | 1550 Eustis St Apt H, Saint Paul, MN 55108-1211 | 2020-08-10 |
| 1447892211 | Kimberly Marette | Counselor | 762 Transfer Rd Ste 116, Saint Paul, MN 55114-4506 | 2019-10-14 |
| 1639711641 | Megan Jean Manty | Counselor | 393 Dunlap St N Ste 300, Saint Paul, MN 55104-4207 | 2019-10-10 |
| 1417510124 | Hannah Kleese | Counselor | 1154 Grand Ave Unit 2, Saint Paul, MN 55105-2628 | 2019-04-17 |
| 1487116307 | Eric Wittkopf | Counselor | 1821 University Ave W Ste N180, Saint Paul, MN 55104-2803 | 2019-04-01 |
| 1467927087 | Kathleen Renee Semke | Counselor | 700 8th St E, Saint Paul, MN 55106-4414 | 2018-10-10 |
| 1750819777 | Laureen Ann Schwartz | Counselor | 338 Snelling Ave S, Saint Paul, MN 55105-2048 | 2017-06-03 |
| 1114468238 | Benjamin Kline | Counselor | 1163 Matilda St, Saint Paul, MN 55117-4820 | 2017-03-09 |
| 1841672623 | Linda Lee Labarre | Counselor | 68 Maria Ave, Saint Paul, MN 55106-6307 | 2015-06-29 |
| 1952789349 | Terry Campbell | Counselor | 333 Grand Ave Ste 204, Saint Paul, MN 55102-2583 | 2015-05-18 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on KRISTINA 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.