JOANNE KELLY JACKSON (NPI# 1417074675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417074675 |
| Entity Type | Individual |
| Full Name | JOANNE KELLY JACKSON |
| Credential | B.A,B.A.,CADC 1 |
| Practice Address |
205 Se 3rd Ave Hillsboro OR 97123-4093 |
| Practice Telephone | 5036933104 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124219605 | Joanne Jackson | Technician | 412 S Chaney Ave, Brinkley, AR 72021 | 2007-08-08 |
| 1871711291 | Joanne Jackson | Psychologist | 104 Grand St, Croton On Hudson, NY 10520-2305 | 2007-04-23 |
| 1891835013 | Joanne Marie Jackson | Speech-Language Pathologist | 12800 Copper Ave Ne, Apache Es, Albuquerque, NM 87123-1647 | 2007-02-07 |
| 1992750632 | Joanne V Jackson | Pediatrics | 595 Hurrincane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2006-05-23 |
| 1871144188 | Joanne Jackson | Licensed Practical Nurse | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-27 |
| 1013099795 | Joanne Jackson | Nurse Practitioner | 3300 Main St, 2nd Floor, Suite A, Springfield, MA 01107-1112 | 2006-10-20 |
| Street Address |
205 SE 3RD AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689713117 | John Louis Dugan | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2007-02-05 |
| 1114395670 | Gena Briggs | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2015-09-14 |
| 1033591854 | Darrell White | Peer Specialist | 205 Se 3rd Ave, 100, Hillsboro, OR 97123-4093 | 2015-06-29 |
| 1881094316 | Mariana Chavez | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2014-09-03 |
| 1700298932 | Steven James Milanese | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2014-05-22 |
| 1407282841 | Caitlin Plato | Counselor | 205 Se 3rd Ave, Hillsboro, OR 97123-4093 | 2013-09-17 |
| 1356786602 | Jose Mijangos Reyes | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2013-04-30 |
| 1942644034 | Shannon Marie Gilligan | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2013-04-19 |
| 1184923435 | Lisa Carberry | Counselor | 205 Se 3rd Ave, Suite 100, Hillsboro, OR 97123-4093 | 2011-03-24 |
| 1861620510 | Bianca Henrrietta Garcia | Counselor | 205 Se 3rd Ave, Hillsboro, OR 97123-4093 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603335 | Benetta Vincent | Counselor | 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 | 2020-06-09 |
| 1972149243 | Jason Grove | Counselor | 466 S Elm St, Hillsboro, OH 45133-1360 | 2019-11-21 |
| 1932740545 | Chelsea Marie Traylor | Counselor | 231 E South St Apt A, Hillsboro, OH 45133-1629 | 2019-10-04 |
| 1114572831 | Dustin James Davis | Counselor | 4660 Ne Belknap Ct Ste 101h, Hillsboro, OR 97124-8403 | 2019-08-08 |
| 1407390966 | Bernadette Ramirez | Counselor | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2016-12-16 |
| 1184172702 | Malcolm Ross Patton | Counselor | 1500 Ne Arrowwood St, Hillsboro, OR 97124-2624 | 2016-09-12 |
| 1053782938 | Charles Henry Reynolds Sr. | Counselor | 504 Ne 18th Ave, Hillsboro, OR 97124-3508 | 2015-10-16 |
| 1649673914 | Rick Johnson | Counselor | 5350 Ne Elam Young Pkwy, Hillsboro, OR 97124-6401 | 2014-10-01 |
| 1134487762 | Quentin Vivian Thomas | Counselor | 3797 Nw 4th Ave, Hillsboro, OR 97124-1610 | 2012-05-02 |
| 1609169655 | Cherry S. Hill | Counselor | 2289 Se 56th Pl, Hillsboro, OR 97123-8111 | 2011-05-24 |
| Find all providers in HILLSBORO | ||||
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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.