MRS. SANDRA G. JACKSON (NPI# 1366459778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366459778 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA G. JACKSON |
| Other Name | SANDRA LEWIS |
| Credential | LPCC |
| Practice Address |
1900 E. Tenth Street Alamogordo NM 88310 |
| Mailing Address |
1320 S. Solano Las Cruces NM 88001 |
| Practice Telephone | 5754377404 |
| Practice Fax Number | 5754392860 |
| Mailing Telephone | 5755277900 |
| Mailing Fax Number | 5755714872 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0112141 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 18677037 | 05 | |
| NM | 94206708 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1710230917 | Sandra Evans Jackson | Counselor | 1035 Director Ct, Suite C, Greenville, NC 27858-5996 | 2012-10-25 |
| 1407170665 | Sandra Marie Jackson | Marriage & Family Therapist | 6809 Indiana Ave Ste B8, Riverside, CA 92506 | 2010-03-17 |
| 1619118288 | Sandra Denise Jackson | Durable Medical Equipment & Medical Supplies | 4303 Herridge St, Houston, TX 77022-3944 | 2009-03-11 |
| 1740425735 | Sandra Renee Jackson | Physical Therapist | 4476 Winding Creek Rd, Manlius, NY 13104-2482 | 2008-12-05 |
| 1255535860 | Sandra Denise Jackson | Licensed Vocational Nurse | 708 Bond St, Copperas Cove, TX 76522-3079 | 2007-06-14 |
| 1316089840 | Sandra Gordon Jackson | Social Worker | 2121 Sage Rd Ste 180, Houston, TX 77056-4326 | 2007-02-12 |
| 1326195959 | Sandra Jackson | Social Worker | 2750 N Lakeview Dr, Warsaw, IN 46582-8408 | 2007-01-04 |
| 1396717286 | Sandra F Jackson | Nurse Practitioner | 23 W 37th St, Wilmington, DE 19802-2225 | 2006-02-03 |
| Street Address |
1900 E. TENTH STREET |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784798 | Huffman Counseling Services LLC | Counselor | 720 S White Sands Blvd Ste A, Alamogordo, NM 88310-7201 | 2018-09-18 |
| 1538269238 | Dawn A Garrett | Counselor | 407 Sunset Ave, Alamogordo, NM 88310-4146 | 2006-09-22 |
| 1669487104 | Armando Rhoades | Counselor | 1900 E. 10th St., Alamogordo, NM 88310 | 2006-07-31 |
| 1629083084 | Sandra Wilder | Counselor | 1900 E. 10th Street, Alamogordo, NM 88310 | 2006-07-31 |
| 1588682868 | Donna Ray` Mohr | Counselor | 916 N White Sands Blvd, Alamogordo, NM 88310-6926 | 2006-07-17 |
| 1952955858 | Kate Brown | Counselor | 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 | 2019-07-29 |
| 1497318349 | Grace Counseling Services, LLC | Counselor | 720 S White Sands Blvd Ste A, Alamogordo, NM 88310-7201 | 2019-04-16 |
| 1609349307 | Alexandra Wofford, LLC | Counselor | 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 | 2019-01-04 |
| 1982183695 | Alexandra Wofford | Counselor | 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 | 2018-08-13 |
| 1235673815 | Changing Attitudes Transformational Counseling | Counselor | 1213 Michigan Ave, Alamogordo, NM 88310-6725 | 2016-12-15 |
| Find all providers in ALAMOGORDO | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on MRS. SANDRA G. JACKSON.
| 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.