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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
PA | Behavioral Health & Social Service Providers |
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 |
Street Address |
8220 CASTOR AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19152-2729 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19152 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19152 |
Please comment or provide details below to improve the information on CRYSTAL RENA 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.