MRS. DANA JACKSON (NPI# 1326582263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326582263 |
| Entity Type | Individual |
| Full Name | MRS. DANA JACKSON |
| Practice Address |
2425 Youree Drive Shreveport LA 71104 |
| Mailing Address |
6233 Trailwood Ter Shreveport LA 71119-7232 |
| Practice Telephone | 3187433408 |
| Mailing Telephone | 3185842488 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1962701391 | Dana Lynn Jackson | Counselor | 2448 E. 81st Street, Suite 4824 / Citiplextowers, Tulsa, OK 74137-1814 | 2011-03-24 |
| 1043527310 | Dana Jackson | Speech-Language Pathologist | 219 Clarke Avenue, Staten Island, NY 10306-1115 | 2010-09-08 |
| 1922191915 | Dana C. Jackson | Dentist | 6710 Oxon Hill Rd, Suite #350, Oxon Hill, MD 20745-1121 | 2006-10-02 |
| 1174530638 | Dana Jackson | Physical Therapist | 2500 Cherry Ave Ste 203, Bremerton, WA 98310-4202 | 2006-08-01 |
| 1225053531 | Dana M Jackson | Dentist | 7101 Pines Rd, Shreveport, LA 71129-3403 | 2006-07-13 |
| 1033740188 | Dana Marie Jackson | Social Worker | 186 E 1800 N Ste 1, North Logan, UT 84341-2245 | 2020-01-28 |
| 1235692112 | Dana A Jackson | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-04-09 |
| 1194209809 | Dana Unique Jackson | Home Health Aide | 3896 Swenson St, Las Vegas, NV 89119-7408 | 2018-09-18 |
| 1306330840 | Dana Andrea Jackson | Nurse Practitioner | 215 S Anderson St, Tullahoma, TN 37388-3735 | 2018-06-19 |
| Street Address |
2425 YOUREE DRIVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| 1114398708 | Carolyn Morris | Case Manager/Care Coordinator | 640 Prospect St Apt 1, Shreveport, LA 71104 | 2015-10-08 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1063046381 | Sharon H Harris | Counselor | 4420 Fairway Dr, Shreveport, LA 71109-4002 | 2020-02-25 |
| 1316422785 | Valencia Sims | Counselor | 6143 Buncombe Rd, Shreveport, LA 71129-4109 | 2018-10-01 |
| 1467954909 | Staughton Jennings | Counselor | 8501 Millicent Way Apt 1085, Shreveport, LA 71115-2231 | 2018-02-28 |
| 1790283638 | Brookys Haven | Counselor | 217 Jones St, Shreveport, LA 71101-4021 | 2018-01-25 |
| 1356859680 | Keshunna Goode | Counselor | 6308 Border Ln, Shreveport, LA 71119-7204 | 2018-01-22 |
| 1407364409 | Kelly Jane Casey | Counselor | 2620 Centenary Blvd Ste 207, Shreveport, LA 71104-3350 | 2018-01-12 |
| 1932619442 | Mark Bolding | Counselor | 8021 Fairfield Ave, Shreveport, LA 71106-5627 | 2017-10-10 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619493830 | Amri A Warren | Counselor | 2403 Helmsdale Ct, Shreveport, LA 71118-4546 | 2017-08-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.