LENA JACKSON (NPI# 1396100996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396100996 |
| Entity Type | Individual |
| Full Name | LENA JACKSON |
| Practice Address |
730 Medical Center Ct Chula Vista CA 91911-6618 |
| Mailing Address |
1250 Santa Cora Ave Apt 721 Chula Vista CA 91913-1556 |
| Practice Telephone | 6193976901 |
| Mailing Telephone | 6194100687 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37981 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107404 | Lena Citirah Jackson | Counselor | 3331 Easy St, Dunn, NC 28334-7988 | 2007-04-26 |
| Street Address |
730 MEDICAL CENTER CT |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841343910 | Emergency Screening Unit | Community/Behavioral Health | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2007-01-19 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1669080925 | Amber Elizabeth Stacks | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-07-22 |
| 1255957981 | Clarissa Lemus | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-06-18 |
| 1164050464 | Diana Esther Perez | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-03-31 |
| 1366070773 | Gwendolyn Villaluna Morilla | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-03-31 |
| 1730715798 | Brittany Alcala | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-03-20 |
| 1922632983 | Taylor Philips | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-02-28 |
| 1154952398 | Sierra Rose Sanders | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-01-27 |
| 1598303620 | Angela Guadalupe Arevalo | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198624 | Rachel Lavon Williams | Licensed Psychiatric Technician | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2017-08-01 |
| 1417018771 | Wil Ortuno | Licensed Psychiatric Technician | 835 3rd Ave, Ste C, Chula Vista, CA 91911-1352 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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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.