BENJAMIN JACKSON


Address: 127 N Beacon St, Watertown, MA 02472-2712
Phone: 6179263600

BENJAMIN JACKSON (NPI# 1275081929) 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) 1275081929
Entity Type Individual
Full Name BENJAMIN JACKSON
Practice Address 127 N Beacon St
Watertown
MA 02472-2712
Practice Telephone 6179263600
Mailing Telephone 6179263600
Enumeration Date 2016-09-12
Last Update Date 2016-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

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

Other Providers BENJAMIN JACKSON

NPI Name Taxonomy Address Enumeration
1255769287 Benjamin Jackson Counselor 330 W 28th St, 4j, New York, NY 10001-4722 2013-10-30
1972830313 Benjamin Caleb Jackson Chiropractor 522 College Dr, Torrington, WY 82240-1517 2009-11-05
1639675044 Benjamin Jackson Student in an Organized Health Care Education/Training Program 730 Oakridge Blvd, Lumberton, NC 28358-2324 2018-04-04
1629502562 Benjamin Popp Jackson Student in an Organized Health Care Education/Training Program 1 Medical Center Dr Rm 204, Morgantown, WV 26506-1200 2017-04-18
1134504756 Benjamin Jackson Pharmacist 1309 S Mission St, Mt Pleasant, MI 48858-4207 2015-07-24
1528347754 Benjamin T Jackson Hearing Instrument Specialist 1600 Coulter, Bldg. A #105, Amarillo, TX 79106 2011-08-05
1164588448 Benjamin Materi Jackson Surgery 3400 Spruce Street, 4 Silverstein Building, Philadelphia, PA 19104-4206 2006-12-29
1982715207 Benjamin K Jackson Pediatrics 2671 Ne 46th St, Seattle, WA 98105-5041 2006-08-31
1568413094 Benjamin F Jackson Emergency Medicine 171 Ashley Ave, Charleston, SC 29425-8908 2006-05-12

Office Location

Street Address 127 N BEACON ST
City WATERTOWN
State MA
Zip Code 02472-2712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215001409 Ilene Lori Fiedler Counselor 127 N Beacon St, Watertown, MA 02472-2712 2006-11-20
1497305783 Maysa Ann Ramos Social Worker 127 N Beacon St, Watertown, MA 02472-2712 2019-09-18
1306496690 Sophia Carmen Suarez-friedman Social Worker 127 N Beacon St, Watertown, MA 02472-2712 2019-09-18
1609359199 Kiersha Marie Voll Social Worker 127 N Beacon St, Watertown, MA 02472-2712 2018-09-11
1780103705 Hannah Pearson Social Worker 127 N Beacon St, Watertown, MA 02472-2712 2017-09-11
1205262813 Cassandra Breniser Counselor 127 N Beacon St, Watertown, MA 02472-2712 2013-09-16
1568797694 Rebecca Elizabeth Rhodes Counselor 127 N Beacon St, Watertown, MA 02472-2712 2009-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548735327 Gladys Nakungu Kasansula Counselor Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 2018-10-09
1447741962 Hannah Edward Optometrist 550 Arsenal Street, Watertown, MA 02472 2018-05-21
1982193504 Ruth Audrey Silverstein Social Worker Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 2018-05-09
1376067355 Mostafa Medhati Acupuncturist 265 Lexington St., Watertown, MA 02472 2017-08-01
1003346313 Eric Trant Specialist/Technologist 50 Columbia Street, Watertown, MA 02472 2017-06-19
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1396128120 Michelle Soares Darocha Dentist 18 Hovey Street, Watertown, MA 02472 2015-06-29
1760875496 Ece Evin Yildirim Acupuncturist 557 Mt. Auburn St, Watertown, MA 02472 2015-03-05
1396140927 Fabrizia Torazzi Behavioral Analyst 51 Water Street, Suite 200, Watertown, MA 02472 2014-10-24
1265774392 Emilia Ann Fulop Social Worker 127 North Beacon Street, Watertown, MA 02472 2013-03-27
Find all providers in zip 02472

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
1992167951 Amanda Carter-boomsma Counselor 100 S Maple Ste 204, Watertown, SD 57201-3772 2016-03-28
1093137747 Stacey Dawn Bohlmann Counselor 2337 10th Ave Sw, Watertown, SD 57201-7081 2014-01-15
1801188115 Erin Cohen Counselor 14 Berkeley St, Apt. 1f, Watertown, MA 02472-2845 2011-05-04
1063407088 Teresa Ann Madsen Counselor 123 19th St Ne, Watertown, SD 57201-2823 2005-09-15
1306848247 David E. Brown Counselor 126 N Rutland St, Apt 2, Watertown, NY 13601-2833 2005-08-11
1811505530 Meghan Maureen O'neill Counselor 51 Kondazian St, Watertown, MA 02472-2830 2020-07-20
1215576913 Ornella Lozier Counselor 51 Kondazian St, Watertown, MA 02472-2830 2019-12-27
1225675028 Kelly Carvalho Counselor 51 Kondazian St, Watertown, MA 02472-2830 2019-11-30
1811532989 Abubaker Alwahab Counselor 51 Kondazian St, Watertown, MA 02472-2830 2019-11-13
1871135087 Cora Sorensen Counselor 123 19th St Ne, Watertown, SD 57201-2823 2019-10-09
Find all providers in WATERTOWN

Competitor

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City WATERTOWN
Zip Code 02472

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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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