MRS. TOMESHA JACKSON (NPI# 1316551591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316551591 |
| Entity Type | Individual |
| Full Name | MRS. TOMESHA JACKSON |
| Credential | LGPC |
| Practice Address |
2905 Mitchellville Rd Bowie MD 20716-1385 |
| Mailing Address |
4213 Hatties Progress Dr Bowie MD 20720-6321 |
| Practice Telephone | 2025050557 |
| Mailing Telephone | 2025050557 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGP10591 | MD | Behavioral Health & Social Service Providers |
| Street Address |
2905 MITCHELLVILLE RD |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801831540 | Janet Palmieri-parks | Social Worker | 2905 Mitchellville Rd, Suite 110, Bowie, MD 20716-1385 | 2006-06-17 |
| 1518468891 | Terri Williams | Massage Therapist | 2905 Mitchellville Rd, Bowie, MD 20716-1385 | 2018-02-22 |
| 1275075160 | Metro Area Chiropractic & Rehab | Chiropractor | 2905 Mitchellville Rd, Suite 116, Bowie, MD 20716-1385 | 2016-11-09 |
| 1417341017 | Solutions Life Coaching Services LLC | Social Worker | 2905 Mitchellville Rd, Suite 201, Bowie, MD 20716-1385 | 2015-03-23 |
| 1356749436 | Luz Francois | Counselor | 2905 Mitchellville Rd, Unit 201, Bowie, MD 20716-1385 | 2014-12-05 |
| 1760890008 | Crystal Ford | Counselor | 2905 Mitchellville Rd, 201, Bowie, MD 20716-1385 | 2014-07-31 |
| 1144518739 | Meena Somanchi | Nutritionist | 2905 Mitchellville Rd, 102, Bowie, MD 20716-1385 | 2011-07-16 |
| 1245527258 | In Step Podiatry Center, LLC | Durable Medical Equipment & Medical Supplies | 2905 Mitchellville Rd, Suite 105, Bowie, MD 20716-1385 | 2011-06-29 |
| 1295910792 | Primary Care Physicians LLC | Internal Medicine | 2905 Mitchellville Rd, Suite104, Bowie, MD 20716-1385 | 2008-01-02 |
| 1841408697 | Ettienne's Premier Pediatric Care LLC | Pediatrics | 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789142 | Tiffany Johnon | Counselor | 16703 Governor Bridge Rd Apt 203, Bowie, MD 20716-3678 | 2020-08-09 |
| 1669025276 | Philip Ngu Ngundam | Counselor | 14302 Pleasant View Dr, Bowie, MD 20720-4809 | 2019-07-23 |
| 1538630967 | Chontelai Patterson Mendie | Counselor | 15602 Everglade Ln Apt 303, Bowie, MD 20716-3245 | 2018-12-11 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1336678911 | Francesca Alexis Montgomery | Counselor | 14008 Heatherstone Dr, Bowie, MD 20720-4830 | 2017-06-07 |
| 1720459340 | Lindsay Jimmink | Counselor | 2709 Federal Ln, Bowie, MD 20715-2310 | 2015-10-08 |
| 1073906640 | Shatoni Hill | Counselor | 10313 Westridge Dr, Bowie, MD 20721-2935 | 2015-03-06 |
| 1861899676 | Sade Marie Crawford | Counselor | 908 Hall Station Dr, 204, Bowie, MD 20721 | 2014-11-21 |
| Find all providers in BOWIE | ||||
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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.