JEROME ESTER JACKSON (NPI# 1518292796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518292796 |
| Entity Type | Individual |
| Full Name | JEROME ESTER JACKSON |
| Credential | PHD |
| Practice Address |
3838 N West Ave Fresno CA 93705-2703 |
| Mailing Address |
2515 Magnolia Ave Clovis CA 93611-8947 |
| Practice Telephone | 5593073482 |
| Practice Fax Number | 5592940303 |
| Mailing Telephone | 5593073482 |
| Mailing Fax Number | 5592940303 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841303 | Jerome Christopher Jackson | Non-emergency Medical Transport (VAN) | 314 Canaan Cir, Suffolk, VA 23435-3536 | 2020-08-12 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1235414202 | Jerome Sean Jackson | Pharmacist | 1198 W. Kemper Road, Walgreens, Cincinnati, OH 45224 | 2011-10-20 |
| 1659855914 | Jerome Adrian Jackson Jr. | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2018-09-21 |
| 1639678196 | Jerome Santos Jackson | Technician | 1951 Stella Lake St Ste 36, Las Vegas, NV 89106-2144 | 2018-02-09 |
| Street Address |
3838 N WEST AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93705-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649507484 | Antioch Substance Abuse Programs | Clinic/Center | 3838 N West Ave, Fresno, CA 93705-2703 | 2009-11-16 |
| 1407181688 | Alstelma Toliver Jackson | Counselor | 3838 N West Ave, Fresno, CA 93705-2703 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295683 | Deja Marie Velasquez | Counselor | 2772 S. Martin Luther King Jr. Blvd., Fresno, CA 93705 | 2018-11-28 |
| 1952800344 | Maria Del Rosario Marin | Counselor | 2550 W. Clinton Ave., Fresno, CA 93705 | 2018-02-12 |
| 1326293978 | Sueann Vial | Marriage & Family Therapist | 4545 N. West Ave, Fresno, CA 93705 | 2008-11-24 |
| 1396227757 | Raul Prado Jr. | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2018-09-02 |
| 1538645353 | Amabelle Shayeghi Marquez | Dentist | 1255 W Shields Ave, Fresno, CA 93705 | 2018-07-15 |
| 1114443165 | Melissa De Benedetto | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-08-21 |
| 1033630421 | Lorena Soledad Dominguez | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-07-06 |
| 1730634635 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 2550 W Clinton Ave, Fresno, CA 93705 | 2016-08-20 |
| 1558747261 | Cameron Hilaire | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-08-04 |
| 1568858280 | Robin Lynn Ruby | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-04-09 |
| Find all providers in zip 93705 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
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|---|---|---|---|---|
| 1689209884 | Merce Me Care LLC | Counselor | 2603 Balsam Ridge Way, Fresno, TX 77545-7210 | 2020-03-08 |
| 1285090464 | Katherine Allison | Counselor | 1471 E Omaha Ave, Fresno, CA 93720-2250 | 2016-01-04 |
| 1134668932 | Olford-eddy Psychological Services Group | Counselor | 516 W Shaw Ave Ste 200, Fresno, CA 93704-2515 | 2017-02-14 |
| 1003956111 | David E. Roy | Counselor | 5475 N Fresno St Ste 109, Fresno, CA 93710-8333 | 2007-02-07 |
| 1972605392 | Link Care Foundation | Counselor | 1734 W Shaw Ave, Fresno, CA 93711-3416 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468523 | Jessica Flanigan | Counselor | 29 Homestead Blvd, Mill Valley, CA 94941-3425 | 2020-08-19 |
| 1720606825 | Sam Chang | Counselor | 2649 Dorado Ct, Thousand Oaks, CA 91362-4916 | 2020-07-06 |
| 1528684115 | Robb Ring | Counselor | 802 E Chapman Ave, Orange, CA 92866-1650 | 2020-06-19 |
| 1174147888 | Ever Anselmo Mesa | Counselor | 2710 Gateway Oaks Dr Ste 100, Sacramento, CA 95833-3505 | 2020-05-29 |
| 1326677782 | Jim Carel Ten Bosch | Counselor | 35382 Roca Dr, Fremont, CA 94536-5460 | 2020-04-07 |
| 1841828563 | Elinor Anne Benefield | Counselor | 1918 Henry Ave, Pinole, CA 94564-2131 | 2020-03-29 |
| 1831726280 | Robin R Wells | Counselor | 955 Moraga Rd, Lafayette, CA 94549-4524 | 2020-03-25 |
| 1306472147 | Christine Noelle Haider-winnett | Counselor | 641 G St Apt A, Davis, CA 95616-3753 | 2020-03-12 |
| 1174163968 | Mark Seelig | Counselor | 4665 Hawaina Way, Kelseyville, CA 95451-9757 | 2020-01-09 |
| 1275175382 | Workforce Chaplaincy | Counselor | 4000 W Robinwood Ct, Visalia, CA 93291-5554 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
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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.