KENNETH JACKSON


Address: 1501 Madison Rd, Walnut Hills, OH 45206-1706
Phone: 5133547100

KENNETH JACKSON (NPI# 1528573714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
QMHS 00000 01

Other Providers KENNETH JACKSON

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

Office Location

Street Address 1501 MADISON RD
City WALNUT HILLS
State OH
Zip Code 45206-1706

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City WALNUT HILLS
Zip Code 45206

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Dataset Information

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.

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