JUSTIN JACKSON (NPI# 1235788902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235788902 |
| Entity Type | Individual |
| Full Name | JUSTIN JACKSON |
| Credential | LPC |
| Practice Address |
15 W Cary St Richmond VA 23220-5609 |
| Practice Telephone | 8046444636 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 0701008565 | VA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0701008565 | VA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0701008565 | VA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701008565 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470285 | Justin Jackson | Physical Therapy Assistant | 22 Eugenia Ct, Cordova, SC 29039-9635 | 2019-04-12 |
| 1356690101 | Justin Lee Jackson | Counselor | 375 Conestoga Way Unit 4213, Henderson, NV 89002-1108 | 2012-09-06 |
| 1699309799 | Justin Andrew Jackson | Counselor | 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | 2020-02-27 |
| 1760999841 | Justin Jackson | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2018-01-10 |
| 1124476569 | Justin Jackson | Social Worker | 8 Atwood Dr Ste 301, Northampton, MA 01060-4266 | 2016-05-26 |
| 1417216375 | Justin M. Jackson | Anesthesiology | 1455 Montreal Rd, Tucker, GA 30084-8100 | 2012-05-14 |
| Street Address |
15 W CARY ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235329756 | Human Resources Inc | Community/Behavioral Health | 15 W Cary St, Richmond, VA 23220-5609 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152882 | Greta Hicks Brooks | Counselor | 207 Willoughby Dr, Richmond, TX 77469-6076 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1164029187 | Ami Ballay Williams | Counselor | 827 E Parham Rd Ste 4, Richmond, VA 23227-1126 | 2020-10-02 |
| 1104433622 | Jerard Lamarl Elliott | Counselor | 119 S 1st St Apt 103, Richmond, VA 23219-3760 | 2020-09-29 |
| 1922614288 | Tiffany Toombs Royall | Counselor | 2111 Davenport Ave, Richmond, VA 23228-4617 | 2020-09-21 |
| 1407467053 | Claire B Lewis | Counselor | 5815 Fitzhugh Ave, Richmond, VA 23226-1803 | 2020-08-16 |
| 1659989051 | Stephanie Jeanette Rodenberg-lewis | Counselor | 930 Holly Hall Dr, Richmond, TX 77406-2376 | 2020-07-21 |
| 1932726247 | Darrick Cory White | Counselor | 1111 Escambia Way Dr, Richmond, TX 77406-2794 | 2020-07-02 |
| 1588280424 | Domonique Ashleigh-nicole Wilson | Counselor | 11221 Arbor Creek Dr Apt 436, Richmond, VA 23233-0206 | 2020-06-16 |
| 1104445154 | Teresh Hodiah Wilson | Counselor | 3115 North Ave, Richmond, VA 23222-2646 | 2020-04-09 |
| Find all providers in RICHMOND | ||||
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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.