KAITLYN R JACKSON (NPI# 1447704937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447704937 |
| Entity Type | Individual |
| Full Name | KAITLYN R JACKSON |
| Credential | LPC |
| Practice Address |
624 Market Ave N Canton OH 44702-1017 |
| Practice Telephone | 3304934553 |
| Practice Fax Number | 3304933761 |
| Mailing Telephone | 3304934553 |
| Mailing Fax Number | 3304933761 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155382 | Kaitlyn Jackson | Registered Nurse | 790 Park Ave, Huntington, NY 11743-4516 | 2018-12-09 |
| 1336599901 | Kaitlyn Jackson | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-06-15 |
| Street Address |
624 MARKET AVE N |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629034830 | Trillium Family Solutions Inc | Voluntary or Charitable | 624 Market Ave N, Canton, OH 44702-1017 | 2006-04-25 |
| 1376159467 | Alissa Kiefer | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1932715042 | Michelle Adkins | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1659987758 | Christine Pitts | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1508478165 | Abbie Eileen Ricketson | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1770195323 | Jack Cameron | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1336767565 | Sidney Cowart | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-07-14 |
| 1194347328 | Cianna A Dorando | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-05-11 |
| 1518588979 | Cynthia M Cox | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-04-27 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1962901595 | Amber Nichole Strong | Social Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-02-09 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009268 | Alliance of Hope Counseling Services LLC | Counselor | 1358 Stacy Dr, Canton, MI 48188-1438 | 2020-09-29 |
| 1902418270 | Sharon S Byler Counseling, LLC | Counselor | 1511 3rd St Se, Canton, OH 44707-3246 | 2020-08-18 |
| 1083234876 | Robin L Skora Lpc, LLC | Counselor | 1948 Hendrie, Canton, MI 48187-4686 | 2020-04-21 |
| 1710537170 | Godfrey Ndubuisi Aguwa | Counselor | 46779 Creeks Bnd, Canton, MI 48188-2384 | 2019-09-18 |
| 1184288417 | Barbara Lee Parry | Counselor | 251 Vz County Road 2408, Canton, TX 75103-4068 | 2019-04-22 |
| 1649744947 | Evelynmarie Sabrinah Dorce | Counselor | 840 Commerce Trl, Canton, GA 30114-7572 | 2019-01-20 |
| 1679088413 | Taylor Clay | Counselor | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2017-12-01 |
| 1508379934 | Marsha R Mudrey | Counselor | 2205 Riverstone Boulevard, Suite 273, Canton, GA 30114-5250 | 2017-11-07 |
| 1740728906 | Meadow Winds Counseling Services | Counselor | 195 Trenton Ln, Canton, GA 30115-8194 | 2017-02-08 |
| 1043764459 | Denna Mary Gilot | Counselor | 3206 Windsor Woods Ln, Canton, MA 02021-3469 | 2016-08-15 |
| Find all providers in CANTON | ||||
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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.