CRYSTAL RENA JACKSON


Address: 8220 Castor Ave, Philadelphia, PA 19152-2729
Phone: 2157284672

CRYSTAL RENA JACKSON (NPI# 1437796919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437796919
Entity Type Individual
Full Name CRYSTAL RENA JACKSON
Credential MS
Practice Address 8220 Castor Ave
Philadelphia
PA 19152-2729
Practice Telephone 2157284672
Practice Fax Number 2157456511
Mailing Telephone 2157284672
Mailing Fax Number 2157456511
Enumeration Date 2019-12-04
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
PA Behavioral Health & Social Service Providers

Other Providers CRYSTAL JACKSON

NPI Name Taxonomy Address Enumeration
1265081384 Crystal Jackson Specialist/Technologist 2426 Cairns Mill Ct, Charlotte, NC 28269-4083 2019-09-11
1487022919 Crystal Jackson Behavior Technician 3205 Shawnee Trl, Alamogordo, NM 88310 2015-09-15
1598140725 Crystal Jackson Licensed Practical Nurse 1585 Holloway Ray Rd, Mc Intyre, GA 31054-2469 2015-07-29
1336560861 Crystal Jackson Counselor 579 Pimlico Cir, Whitsett, NC 27377-8713 2013-12-31
1215288865 Crystal Jackson Rehabilitation Practitioner 1018 Mosskag Ct, North Las Vegas, NV 89032-7696 2012-09-23
1083879837 Crystal B Jackson Specialist 700 Southlake Cir, Youngsville, LA 70592-5671 2008-07-22
1255595948 Crystal A. Jackson Psychologist 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 2008-07-11
1659986586 Crystal E Jackson Behavior Technician 6622 N Maroa Ave, Fresno, CA 93704-1209 2020-09-08
1093349367 Crystal Jackson Counselor 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 2020-02-26
1255981130 Crystal L Jackson Case Manager/Care Coordinator 1290 Chambers Rd, Aurora, CO 80011-7117 2019-09-12

Office Location

Street Address 8220 CASTOR AVE
City PHILADELPHIA
State PA
Zip Code 19152-2729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386605178 Beth Bloom Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2006-03-31
1851900278 Tahanee Munir Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2020-07-31
1396369583 Lesa Drake Social Worker 8220 Castor Ave, Philadelphia, PA 19152-2729 2020-06-03
1710509237 Fernanda Ann Formel Marriage & Family Therapist 8220 Castor Ave, Philadelphia, PA 19152-2729 2020-05-07
1083247431 Hannah Sadock Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2020-02-13
1790316024 Raelea Webster Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2020-01-27
1215577119 Madeleine Emily Ball Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2020-01-09
1629615190 Rebecca Kline Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2019-12-04
1821634452 Serra Karamete Counselor 8220 Castor Ave, Philadelphia, PA 19152-2729 2019-11-19
1134762511 Cassandra Lamothe Registered Nurse 8220 Castor Ave, Philadelphia, PA 19152-2729 2019-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1093298325 Friendly Smile Dental Inc Clinic/Center 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 2018-09-12
1659857720 Jaini Desai Behavior Technician 2982 Welsh Rd, Philadelphia, PA 19152 2018-07-12
1578066395 Alexis Turbin Physician Assistant 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 2018-03-18
1215452982 Nazareth Physician Services Inc Social Worker 2630 Holme Ave Ste 101, Philadelphia, PA 19152 2017-08-03
1437671955 Anca & Leo LLC Home Health 9107 Revere St Ste 1, Philadelphia, PA 19152 2017-07-17
1407377435 Erin O'neill Mcdermott Nurse Practitioner 1906 Tustin St., Philadelphia, PA 19152 2017-06-29
1700307766 Vinayasree Shyam Internal Medicine 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 2017-06-29
1497292833 Joy & Comfort Home Care Home Health 2303 Stanwood St, Philadelphia, PA 19152 2017-01-24
1700320330 Anna Lvovna Blinava Pharmacist 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 2016-12-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992311575 Jennifer Victoria Hart Counselor 1644 W Champlost St, Philadelphia, PA 19141-1819 2020-09-19
1184233892 Jordyn Occhipinti Counselor 429 Daly St, Philadelphia, PA 19148-5702 2020-07-28
1346868783 Walter J Bullock Counselor 1831 Wakeling St, Philadelphia, PA 19124-2855 2020-07-13
1114544475 Atiya Walida Pope Counselor 1027 Wagner Ave, Philadelphia, PA 19141-2927 2020-07-01
1639795560 Caroline Maccherone Counselor 2207 E Norris St, Philadelphia, PA 19125-1905 2020-06-16
1093339988 Brianna Bliss Counselor 836 S Howard St, Philadelphia, PA 19147-3436 2020-06-05
1497376578 Frank Allen Edwards Jr. Counselor 2506 S Broad St, Philadelphia, PA 19145-4639 2020-04-30
1083234538 David Sparrow Sr. Counselor 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 2020-04-24
1316567654 Cheryl D Nelson Counselor 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 2020-04-16
1952938912 Marjola Como Counselor 108 Cliffwood Rd, Philadelphia, PA 19115-2715 2020-03-26
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Competitor

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City PHILADELPHIA
Zip Code 19152

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Dataset Information

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.

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