ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES (NPI# 1497759237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497759237 |
| Entity Type | Organization |
| Organization Name | ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES |
| Other Organization Name | ACCESS |
| Practice Address |
5656 N Jackson St Jacksonville TX 75766-9641 |
| Mailing Address |
913 N Jackson St Jacksonville TX 75766-3801 |
| Practice Telephone | 9035899000 |
| Practice Fax Number | 9035869200 |
| Mailing Telephone | 9035865507 |
| Mailing Fax Number | 9035864234 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALLYN LANG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9035865507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | ========= | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS &BLUE SHIEILD | 00T09Z | 01 |
| Other Name | Type Code |
|---|---|
| ACCESS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558563197 | Anderson Cherokee Community Enrichment Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1124056585 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 803 Sharon St, Rusk, TX 75785 | 2006-06-28 |
| 1750318333 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 619 East Fourth, Rusk, TX 75785 | 2006-06-27 |
| 1821092677 | Anderson Cherokee Community Enrichment Services | Psychologist | 913 N Jackson St, Jacksonville, TX 75766-3801 | 2005-06-09 |
| 1780001503 | Anderson Cherokee Community Enrichment Services | Clinic/Center | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2014-03-19 |
| 1457553091 | Anderson Cherokee Community Enrichment Services | Day Training, Developmentally Disabled Services | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1710015201 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1538297023 | Anderson Cherokee Community Enrichment Services | Case Management | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1447388939 | Anderson Cherokee Community Enrichment Services | Case Manager/Care Coordinator | 1011 College Ave, Jacksonville, TX 75766-3307 | 2007-02-28 |
| Street Address |
5656 N JACKSON ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022918 | Jill K Pontius | Psychiatry & Neurology | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-09 |
| 1780001503 | Anderson Cherokee Community Enrichment Services | Clinic/Center | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2014-03-19 |
| 1437587060 | Carrie C Deer | Nurse Practitioner | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2013-10-16 |
| 1639327877 | Dennis Ray Phillips | Social Worker | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2008-08-29 |
| 1598953077 | Lewlyn Francis Badger | Counselor | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2007-10-09 |
| 1770527350 | Leslie Z Glover | Counselor | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2006-06-15 |
| 1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1952927600 | Lourdes Portales Dale | Psychologist | 580 W 8th St Fl Towerii6, Jacksonville, FL 32209-6533 | 2020-06-18 |
| 1114414992 | David Herbert Gilliland | Psychologist | 2752 Canyon Falls Dr, Jacksonville, FL 32224-4841 | 2018-04-17 |
| 1588903777 | Darrin John Kirkendall | Psychologist | 3901 University Blvd S Ste 203, Jacksonville, FL 32216-4389 | 2013-02-07 |
| 1851662969 | Lisa-mae Sinclair Armbrust | Psychologist | 11111 San Jose Blvd Ste 70, #185, Jacksonville, FL 32223-7274 | 2012-01-20 |
| 1366724569 | Asa Therapeutic Services, Pllc | Psychologist | 200 Valencia Dr Ste 128, Jacksonville, NC 28546-6313 | 2011-09-13 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1871872762 | Rebecca Tagg | Psychologist | 1179 Mccallister Rd, Jacksonville, NC 28540-8796 | 2011-08-09 |
| 1942597901 | Nancy Ghali | Psychologist | 4006 Henderson Dr., Jacksonville, NC 28546 | 2011-06-28 |
| 1457689911 | Leslie Herbert Krieger | Psychologist | 3834 Reedpond Dr S, Jacksonville, FL 32223-4820 | 2009-11-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
Please comment or provide details below to improve the information on ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES.
| 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.