KENDRA LORRAINE JACKSON (NPI# 1306126867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306126867 |
Entity Type | Individual |
Full Name | KENDRA LORRAINE JACKSON |
Credential | LPC |
Practice Address |
2525 Riva Rd Ste 142 Annapolis MD 21401-7411 |
Practice Telephone | 4432217189 |
Mailing Telephone | 4432217189 |
Enumeration Date | 2011-08-27 |
Last Update Date | 2012-04-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | LGP3952 | MD | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC14199 | DC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
1649520461 | Kendra Jackson | Behavioral Analyst | 730 Dorset Cir, Reno, NV 89506-1972 | 2012-09-19 |
1548583164 | Kendra D Jackson | Behavioral Analyst | 8136 James Ct Apt A, Oklahoma City, OK 73145-4446 | 2010-03-10 |
1578726204 | Kendra Y Jackson | Licensed Vocational Nurse | 568 S Winery Ave, #104, Fresno, CA 93727-8239 | 2008-07-02 |
1649776469 | Kendra Joy Jackson | Pediatrics | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2018-04-02 |
1801297056 | Kendra Jackson | Counselor | 90 Hospital Dr, Athens, OH 45701-2301 | 2014-09-08 |
Street Address |
2525 RIVA RD STE 142 |
City | ANNAPOLIS |
State | MD |
Zip Code | 21401-7411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710229729 | Kimberly T Mills | Counselor | 2525 Riva Rd Ste 142, Annapolis, MD 21401-7411 | 2013-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
Find all providers in zip 21401 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508417759 | Timothy Lee Mewmaw | Counselor | 700 Melvin Ave Ste 5, Annapolis, MD 21401-1506 | 2019-09-27 |
1063903722 | Gail Bowles | Counselor | 133 Defense Hwy Ste 210, Annapolis, MD 21401-8907 | 2018-05-29 |
1295246718 | Safe Harbor Behavioral Care Chesapeake LLC | Counselor | 108 Old Solomons Island Rd Unit 5, Annapolis, MD 21401-3845 | 2017-10-24 |
1063891109 | Laura Wanderling | Counselor | 1843 Lindamoor Dr, Annapolis, MD 21401-1039 | 2015-05-21 |
1609264506 | Rickie Phillips | Counselor | 201 Medical Parkway, Annapolis, MD 21401 | 2014-12-30 |
1689921371 | Jane Spell | Counselor | 884 Chesterfield Rd, Annapolis, MD 21401-7049 | 2012-08-13 |
1881969459 | Serenity Therapeutic Counseling Services | Counselor | 1612 Mcguckian Ave Suite 3, Annapolis, MD 21401-4024 | 2012-03-15 |
1437461308 | Gwen Marie Condon | Counselor | 8 Leeward Ct, Annapolis, MD 21403-3489 | 2010-07-08 |
1942523816 | Rebecca J Bickel | Counselor | 1056 Pinecrest Dr, Annapolis, MD 21403-4253 | 2010-03-08 |
1942534409 | James A Stafford | Counselor | 102 Old Solomons Island Rd, Suite 202, Annapolis, MD 21401-3816 | 2009-09-30 |
Find all providers in ANNAPOLIS |
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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.