EBONY JACKSON (NPI# 1477904357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477904357 |
| Entity Type | Individual |
| Full Name | EBONY JACKSON |
| Practice Address |
2275 Arlington Dr San Leandro CA 94578-1132 |
| Practice Telephone | 5103171444 |
| Mailing Telephone | 5103171444 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1750848800 | Ebony Jackson | Doula | 12158 Alexandra Dr, Jacksonville, FL 32218-8883 | 2019-02-25 |
| 1699094326 | Ebony Marie Jackson | Licensed Practical Nurse | 39 Dunbar St, Rochester, NY 14619-2142 | 2010-05-20 |
| 1356678197 | Ebony Jackson | Licensed Practical Nurse | 4754 E 175th St, Cleveland, OH 44128-3932 | 2009-11-16 |
| 1225636582 | Ebony Jamice Jackson | Registered Nurse | 3601 Shady Timber Dr, Twinsburg, OH 44087-4945 | 2020-10-09 |
| 1568025807 | Ebony Jackson | Social Worker | 1655 Burlington Pike Ste 101, Florence, KY 41042-4909 | 2019-04-22 |
| 1639681331 | Ebony Craig Jackson | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-02 |
| 1871022699 | Ebony Jackson | Counselor | 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 | 2017-06-06 |
| 1730564279 | Ebony Conerly Jackson | Social Worker | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-07-27 |
| Street Address |
2275 ARLINGTON DR |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114001906 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2006-10-25 |
| 1730787409 | Rocio Soto | Community Health Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1457959215 | Tracy Nguyen | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1891393526 | Kristian J Aclan | Registered Nurse | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1225636244 | Pooja Prasad | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-12 |
| 1790382091 | Emerald Lacy | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-08 |
| 1447866454 | Jason Andre Ernest Mcgann | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-16 |
| 1043825979 | Maksin Puzar | Community Health Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-08 |
| 1164037099 | Rosa Jennifer Colin | Social Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-08 |
| 1588279418 | Daniel Alejandro Gallegos | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| 1578055208 | Mary Lee | Counselor | 81 Dabner St, San Leandro, CA 94577-1423 | 2018-05-30 |
| 1922414945 | Melissa Stevens | Counselor | 13847 E 14th St Ste 205, San Leandro, CA 94578-2626 | 2014-07-10 |
| 1174872667 | Ardra Dion Taylor | Counselor | 525 Lafayette Ave, San Leandro, CA 94577-2715 | 2012-08-30 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1447488937 | Rosaura Yesenia Zelaya | Counselor | 500 Davis St Ste 120, San Leandro, CA 94577-2759 | 2009-06-23 |
| 1912159906 | Tatiana Geneva Stewart | Counselor | 1057 Macarthur Blvd Ste 208, San Leandro, CA 94577-3014 | 2008-10-21 |
| 1215126214 | Tamia Kimadaa Bright | Counselor | 114 Garcia Ave, San Leandro, CA 94577-1714 | 2007-10-16 |
| 1710017553 | Dana Toscano | Counselor | 2275 Arlington Dr., San Leandro, CA 94578 | 2007-03-07 |
| 1306987961 | Larry Ellerbee | Counselor | 15699 Baypoint Ave, San Leandro, CA 94579-2794 | 2007-02-08 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on EBONY 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.