LYNN JACKSON (NPI# 1497129472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497129472 |
| Entity Type | Individual |
| Full Name | LYNN JACKSON |
| Practice Address |
3869 Terrybrook Rd West Bloomfield MI 48322-1737 |
| Practice Telephone | 2489323935 |
| Mailing Telephone | 2489323935 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401013032 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437558285 | Lynn Jackson | Behavioral Analyst | 495 Manhattan Ave, New York, NY 10027-5237 | 2014-08-18 |
| 1609203694 | Lynn Jackson | Psychologist | 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 | 2013-10-04 |
| 1689779522 | Lynn C Jackson | Physical Therapist | 6012 W William Cannon Dr, Bldg C, Austin, TX 78749-1980 | 2006-09-14 |
| Street Address |
3869 TERRYBROOK RD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039467 | Kendra Marie Chalmers-wolski | Counselor | 3438 Winterberry Dr, West Bloomfield, MI 48324-2567 | 2020-09-30 |
| 1992337687 | Empowering Serenity & Guidance, Pllc | Counselor | 5745 W Maple Rd Ste 213, West Bloomfield, MI 48322-4488 | 2020-02-10 |
| 1679104491 | Rebecca Nicole Fry | Counselor | 7932 Goshen Dr, West Bloomfield, MI 48322-5002 | 2020-01-30 |
| 1700356425 | Oakland Evidence-based Psychotherapy Clinic, Pllc | Counselor | 5745 W Maple Rd Ste 205, West Bloomfield, MI 48322-4440 | 2018-11-26 |
| 1003357641 | Dylan Jay Foster | Counselor | 7142 Chimney Hill Dr, Apt 3205, West Bloomfield, MI 48322-4535 | 2017-03-15 |
| 1073062048 | Yvonne Smith | Counselor | 1565 Malcolm St, West Bloomfield, MI 48324-3526 | 2016-09-30 |
| 1710433214 | Yechezkiyahu Yakov Finkelstein | Counselor | 6334 Pepper Hill St, West Bloomfield, MI 48322-2303 | 2016-08-25 |
| 1811353824 | Katarina Gasevski | Counselor | 7455 Colchester Ln, West Bloomfield, MI 48322-3189 | 2016-01-06 |
| 1780057711 | Life Balance Counseling of Michigan | Counselor | 7439 Middlebelt Rd Ste 4, West Bloomfield, MI 48322-4183 | 2015-11-13 |
| 1851778351 | Brenda Blind | Counselor | 4408 Welland Dr, West Bloomfield, MI 48323-1463 | 2015-05-04 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on LYNN 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.