TONDALAYA JACKSON (NPI# 1386964435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386964435 |
| Entity Type | Individual |
| Full Name | TONDALAYA JACKSON |
| Practice Address |
77 Cortland Ave San Francisco CA 94110-5435 |
| Mailing Address |
368 Fell St San Francisco CA 94102-5144 |
| Practice Telephone | 4155501881 |
| Practice Fax Number | 4155501791 |
| Mailing Telephone | 4158610828 |
| Mailing Fax Number | 4158610257 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
77 CORTLAND AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818751 | Warren D Kronenberg | Psychiatry & Neurology | 77 Cortland Ave, San Francisco, CA 94110 | 2006-12-18 |
| 1740823921 | Julian Popes Russo | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2019-10-21 |
| 1487205746 | Zena Marpet | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2019-09-26 |
| 1831749241 | Ernesto Jasso | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2019-09-17 |
| 1609368588 | Meher Singh | Counselor | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2018-06-05 |
| 1144722349 | Angela Kitses | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2018-03-03 |
| 1629589940 | Tiesha Hendricks | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2017-10-12 |
| 1376053983 | Devante Antonio Webb | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2017-10-09 |
| 1831614205 | Lindsay M Fromm | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2017-08-07 |
| 1639615982 | Estivaly Moreno I | Community Health Worker | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| 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 |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1326654518 | Mina Dailami | Counselor | 45 Adair St Apt A, San Francisco, CA 94103-3699 | 2020-09-22 |
| 1538773841 | Samantha Santamaria | Counselor | 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 | 2020-09-03 |
| 1659980076 | Claire Katherine Sheeran | Counselor | 1275 34th Ave, San Francisco, CA 94122-1306 | 2020-07-31 |
| 1104434331 | Archana Chatkara Thomas | Counselor | 974 Pine St Apt 9, San Francisco, CA 94108-2928 | 2020-07-14 |
| 1790306157 | Katherine Rose Kaffka | Counselor | 995 Potrero Ave # 220, San Francisco, CA 94110-2859 | 2020-04-27 |
| 1265073811 | Matthew Charles Paden | Counselor | 1801 Vicente St San Francisco, San Francisco, CA 94116-2923 | 2019-10-04 |
| 1801442140 | Danielle Sawicki | Counselor | 4355 Geary Blvd, San Francisco, CA 94118-3003 | 2019-08-13 |
| 1417501347 | Kimberly Shadean Wedderburn | Counselor | 2200 Hayes St Fl 3, San Francisco, CA 94117-1013 | 2019-07-29 |
| 1740847250 | Caroline Elson | Counselor | 1440 Steiner St Apt 3, San Francisco, CA 94115-4128 | 2019-05-21 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on TONDALAYA 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.