KENNETH JACKSON (NPI# 1528573714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528573714 |
Entity Type | Individual |
Full Name | KENNETH JACKSON |
Practice Address |
1501 Madison Rd Walnut Hills OH 45206-1706 |
Practice Telephone | 5133547100 |
Enumeration Date | 2017-12-10 |
Last Update Date | 2017-12-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
QMHS | 00000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174083810 | Kenneth Jason Jackson | Student in an Organized Health Care Education/Training Program | 320 23rd St S Apt 1418, Arlington, VA 22202-3773 | 2019-03-20 |
1639469026 | Kenneth T Jackson | Counselor | 25506 Virginia Dr, Warren, MI 48091-6002 | 2011-04-19 |
1396968863 | Kenneth J Jackson | Dentist | 809 Redskin Trail, Wapakoneta, OH 45895 | 2007-04-11 |
1972510352 | Kenneth Wayne Jackson | Nurse Practitioner | 1811 Memorial Dr, Clarksville, TN 37043-4604 | 2006-08-01 |
1487606943 | Kenneth Wade Jackson Jr. | Obstetrics & Gynecology | 22 Manningfield Dr, Fletcher, NC 28732-9457 | 2006-05-16 |
1275514994 | Kenneth Conrad Jackson II | Pharmacist | 546 Chipeta Way, Suite 220, Salt Lake City, UT 84108-1236 | 2005-11-09 |
1407409063 | Kenneth Jackson | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-07-22 |
1457857690 | Kenneth D Jackson | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2018-04-05 |
1003328550 | Kenneth Lee Jackson Jr. | Counselor | 1430 S High St Fl 4, Columbus, OH 43207-1045 | 2017-10-24 |
1942674411 | Kenneth David Jackson Jr. | Case Manager/Care Coordinator | 3901 Ulloa St, New Orleans, LA 70119-6942 | 2015-11-21 |
Street Address |
1501 MADISON RD |
City | WALNUT HILLS |
State | OH |
Zip Code | 45206-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265532 | Christie Fox | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-05 |
1114528692 | Heidi A Saba | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
1558962035 | Helen Walters | Military Health Care Provider | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
1477154912 | Tehya S Sidler | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-02 |
1568062503 | Dana L Osborne | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-29 |
1659971547 | Cindy Welling | Registered Nurse | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-29 |
1992305072 | Julie M Sieber | Social Worker | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-28 |
1972103331 | Ali M Hargrave | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
1528668902 | James S Gamble | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
1902406325 | Hannah H Huth | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730686478 | Teresa Marie Truesdell | Counselor | 3605 Woodburn Ave, Cincinnati, OH 45206 | 2018-04-10 |
1881137172 | Chase Mauger | Counselor | 2700 Victory Parkway, Cincinnati, OH 45206 | 2016-11-18 |
1316492390 | The Young Men's Christian Association of Greater Cincinnati | Health Educator | 2840 Melrose Avenue, Cincinnati, OH 45206 | 2016-08-19 |
1326591231 | Valante Jackson | Counselor | 2638 Victory Pkwy, Cincinnati, OH 45206 | 2016-07-27 |
1245637099 | Charles Workman | Social Worker | 2600 Victory Parkway, Cincinnati, OH 45206 | 2014-11-21 |
1154727642 | Lauren Schrand | Social Worker | 2651 Observatory Ave., Cincinnati, OH 45206 | 2014-11-10 |
1619387487 | Jeanne Romell | Occupational Therapy Assistant | 1520 Madison Road, Cincinnati, OH 45206 | 2014-05-02 |
1821347923 | Geoffrey L Raine | Counselor | 1501 Madison Road, Cincinnati, OH 45206 | 2012-09-05 |
1215207766 | Consultants of Mind Matters, Inc | Counselor | 2200 Victory Parkway, Suite 602, Cincinnati, OH 45206 | 2011-12-30 |
1851671093 | Patricia Lynn Zureick | Counselor | 2330 Victory Parkway Ave, Mercy Professional Services Suite 500, Cincinnati, OH 45206 | 2011-08-19 |
Find all providers in zip 45206 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265532 | Christie Fox | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-05 |
1114528692 | Heidi A Saba | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
1477154912 | Tehya S Sidler | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-02 |
1568062503 | Dana L Osborne | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-29 |
1972103331 | Ali M Hargrave | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
1528668902 | James S Gamble | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-27 |
1902406325 | Hannah H Huth | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-26 |
1902404411 | Oscar Spille | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-16 |
1285232256 | Christopher Kandel | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-13 |
1174120877 | Ethan Smuzok | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-10-06 |
Find all providers in WALNUT HILLS |
City | WALNUT HILLS |
Zip Code | 45206 |
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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.