JACKIE LYNN MCKENNEY (NPI# 1285024059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285024059 |
| Entity Type | Individual |
| Full Name | JACKIE LYNN MCKENNEY |
| Credential | LPC |
| Practice Address |
360 Peak One Drive Ste 110 Frisco CO 80443 |
| Mailing Address |
715 Horizon Dr Ste 225 Grand Junction CO 81506-8700 |
| Practice Telephone | 9706683478 |
| Practice Fax Number | 9706680632 |
| Mailing Telephone | 9706837107 |
| Mailing Fax Number | 9706837167 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3877 | CO | Behavioral Health & Social Service Providers |
| Street Address |
360 PEAK ONE DRIVE STE 110 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135385 | Javier Gutierrez | Obstetrics & Gynecology | 360 Peak One Drive, Ste 260, Frisco, CO 80443 | 2005-06-23 |
| 1356948475 | Allergy, Asthma & Immunology of The Rockies, PC | Allergy & Immunology | 360 Peak One Drive, Suite #300, Frisco, CO 80443 | 2020-10-01 |
| 1033767942 | Olivia Lent | Physical Therapist | 360 Peak One Drive, Suite 190, Frisco, CO 80443 | 2019-09-04 |
| 1588211791 | Vail Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 370, Frisco, CO 80443 | 2019-08-22 |
| 1245892033 | Colleen Mintz | Nurse Practitioner | 360 Peak One Drive, Suite 180, Frisco, CO 80443-1303 | 2019-07-02 |
| 1881251155 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 110, Frisco, CO 80443 | 2019-05-22 |
| 1962069237 | Colorado West Regional Mental Health, Inc. | Community/Behavioral Health | 360 Peak One Drive, Suite 130, Frisco, CO 80443 | 2019-05-22 |
| 1558928820 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 140, Frisco, CO 80443 | 2019-05-22 |
| 1518524958 | Marshall Alexander Kowal | Counselor | 360 Peak One Drive, Ste.110, Frisco, CO 80443 | 2019-05-21 |
| 1194292714 | Kayle Hisey | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635073 | Latreece Ross | Counselor | 2770 Main St Ste 140, Frisco, TX 75033-4358 | 2020-09-24 |
| 1518585900 | Allison Laura Smith | Counselor | 8700 Stonebrook Pkwy Unit 2452, Frisco, TX 75034-6186 | 2020-07-11 |
| 1972127348 | Emily Wilson | Counselor | 4645 Avon Ln Ste 190b, Frisco, TX 75033-1549 | 2020-06-02 |
| 1891318887 | Leigh Servigon | Counselor | 15264 Mountain View Ln, Frisco, TX 75035-6884 | 2020-05-25 |
| 1427671494 | Lynn Meyer Counseling, LLC | Counselor | 222 Creekside Dr Unit 115c, Frisco, CO 80443-5817 | 2020-05-25 |
| 1104445170 | Deborah Joan Chendanda | Counselor | 9432 Robinwoods Dr, Frisco, TX 75035-0342 | 2020-04-10 |
| 1720614068 | William John Solari Jr. | Counselor | 3550 Parkwood Blvd Ste 201, Frisco, TX 75034-1904 | 2020-03-18 |
| 1073151072 | Carly Mcguffey | Counselor | 4645 Avon Ln Ste 100a, Frisco, TX 75033-1396 | 2019-12-20 |
| 1518504810 | Melissa Ann Roush | Counselor | 2770 Main St Ste 121, Frisco, TX 75033-4338 | 2019-12-05 |
| 1699332130 | Jena Johnson Sternberg | Counselor | 3827 Vanderbilt Ln, Frisco, TX 75034-3666 | 2019-05-21 |
| Find all providers in FRISCO | ||||
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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.