MARSHA JACKSON (NPI# 1386197978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386197978 |
| Entity Type | Individual |
| Full Name | MARSHA JACKSON |
| Practice Address |
2640 Forest Hill Blvd West Palm Beach FL 33406-5931 |
| Mailing Address |
3850 Max Pl Apt 204 Boynton Beach FL 33436-2062 |
| Practice Telephone | 5616168411 |
| Practice Fax Number | 5616168412 |
| Mailing Telephone | 5615238498 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1386197978 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588927693 | Marsha Jackson | Licensed Practical Nurse | 3630 Madison Rd, Cincinnati, OH 45209-1152 | 2012-06-22 |
| 1598934846 | Marsha W. Jackson | Social Worker | 11311 Cornell Park Dr # 205, Blue Ash, OH 45242 | 2008-02-20 |
| 1477684280 | Marsha E Jackson | Advanced Practice Midwife | 1501 King St, Alexandria, VA 22314-2716 | 2007-03-07 |
| 1346692548 | Marsha Lynn Jackson | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2016-07-12 |
| 1598830937 | Marsha D Jackson | Counselor | 2400 W Main St, Rock Hill, SC 29732-8968 | 2006-11-21 |
| 1801970801 | Marsha C Jackson | Social Worker | 859 Willard St, Suite430, Quincy, MA 02169-7482 | 2006-10-25 |
| Street Address |
2640 FOREST HILL BLVD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33406-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942384201 | Patricia M Murphy | Counselor | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2006-10-24 |
| 1861093064 | Jeanette Castelli | Counselor | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-11-04 |
| 1235743816 | Daniella Gonzalez Gomez | Case Manager/Care Coordinator | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-09-01 |
| 1831715499 | Le'chaundra Portee | Case Manager/Care Coordinator | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-06-19 |
| 1013532639 | Yenisse Coromoto Gonzalez | Case Manager/Care Coordinator | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-06-09 |
| 1548882178 | Lenny Yanill Serrano | Case Manager/Care Coordinator | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-05-18 |
| 1932720067 | Francisca N Koser | Social Worker | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-04-29 |
| 1427677814 | Kathryn Eve Kristol | Counselor | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-04-15 |
| 1275160269 | Tiffanie Rivers | Case Manager/Care Coordinator | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-03-27 |
| 1568098192 | Vanessa Tankes Williams | Case Manager/Care Coordinator | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469481 | Melville's Behavioral Health Services LLC | Case Manager/Care Coordinator | 2464 N Military Trl, West Palm Beach, FL 33409-2907 | 2020-05-22 |
| 1871126789 | Tamara Natalee Johnson | Case Manager/Care Coordinator | 5305 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2449 | 2020-02-19 |
| 1891333993 | Sandra Elivert Esmard | Case Manager/Care Coordinator | 1639 Forum Pl Ste 71639, West Palm Beach, FL 33401-2330 | 2019-12-19 |
| 1467096933 | Sean Kevin Mccullough | Case Manager/Care Coordinator | 817 Kanuga Dr, West Palm Beach, FL 33401-7223 | 2019-10-29 |
| 1053977959 | Charlotte Wright | Case Manager/Care Coordinator | 2275 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-3400 | 2019-05-15 |
| 1144784182 | Tinisha E Tolbert | Case Manager/Care Coordinator | 699 Brandon Prescott Ln Apt 412, West Palm Beach, FL 33401-8717 | 2019-01-23 |
| 1881169563 | Chare Stewart | Case Manager/Care Coordinator | 3540 Whitehall Dr, West Palm Beach, FL 33401-1085 | 2018-10-09 |
| 1851875116 | Tiffany Andrea Jackson | Case Manager/Care Coordinator | 1095 Golden Lakes Blvd Apt 913, West Palm Beach, FL 33411-3353 | 2018-09-21 |
| 1265924005 | Maria Ortiz | Case Manager/Care Coordinator | 424 1/2 Hunter St, West Palm Beach, FL 33405-4402 | 2018-06-06 |
| 1477050870 | Marie Sony Garnier Paul | Case Manager/Care Coordinator | 796 Cresta Cir, West Palm Beach, FL 33413-1048 | 2018-04-11 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33406 |
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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.