JACKIE M JONES


Address: 1003 E Main St Ste 104, Medford, OR 97504-7140
Phone: 5417791282

JACKIE M JONES (NPI# 1548617889) 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) 1548617889
Entity Type Individual
Full Name JACKIE M JONES
Credential CADC I
Practice Address 1003 E Main St Ste 104
Medford
OR 97504-7140
Practice Telephone 5417791282
Mailing Telephone 5417791282
Enumeration Date 2016-05-17
Last Update Date 2019-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16-08-25 OR Behavioral Health & Social Service Providers

Other Providers JACKIE JONES

NPI Name Taxonomy Address Enumeration
1124304019 Jackie Jones Rehabilitation Practitioner 75 Whitetail Archery Ave, North Las Vegas, NV 89084-5215 2011-10-24
1003148362 Jackie A. Jones Speech-Language Pathologist 3433 Glenview Dr, Cape Girardeau, MO 63701-3400 2010-02-10
1861545881 Jackie Lynn Jones Nurse Practitioner 6105 Pinehurst Rd, Baltimore, MD 21212-2547 2007-01-21
1689726283 Jackie Felda Jones Jr. Dentist 11 North Louisville St, Ackerman, MS 39735 2007-01-17
1346391042 Jackie S. Jones Speech-Language Pathologist 1106 W Quay Ave, Artesia, NM 88210-1826 2007-01-16
1477540136 Jackie Michael Jones Optometrist 3501 N Granville Ave, Muncie, IN 47303-1263 2005-09-28
1902210297 Jackie Jones IIi Dentist 1040 Highway 35 S, Forest, MS 39074-9423 2014-06-16
1417201906 Jackie Jones Case Manager/Care Coordinator 5849 Crocker St, Los Angeles, CA 90003-1311 2012-11-05
1740203504 Jackie S Jones Dentist 3700 S Russell St, #116, Missoula, MT 59801-8574 2006-07-25

Office Location

Street Address 1003 E MAIN ST STE 104
City MEDFORD
State OR
Zip Code 97504-7140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467764134 Elizabeth Noami Long Counselor 1003 E Main St Ste 104, Medford, OR 97504 2010-07-09
1093358194 Leticia Parra Aguilar Peer Specialist 1003 E Main St Ste 104, Medford, OR 97504-7140 2019-10-21
1578113791 Kim Oveson Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2019-09-19
1841786555 Shelaine M Quall Peer Specialist 1003 E Main St Ste 104, Medford, OR 97504-7140 2018-07-05
1770099467 Zoe Ariel Rossing Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2017-12-18
1174077978 Christine Mason Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-08-09
1346697687 Allan Rucker Peer Specialist 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-17
1700233087 Anne Daugherty Registered Nurse 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-17
1326495607 Nicole Elliott Registered Nurse 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-17
1366899734 Deana Carvalho Personal Emergency Response Attendant 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124685870 Tracy L Sunde Counselor 512 4th St Sw, Medford, MN 55049-9568 2019-05-28
1245737956 Larkspur Counseling LLC Counselor 328 S Central Ave Ste 212, Medford, OR 97501-7274 2018-04-09
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1255875654 Danielle E Peterson Counselor 429 W Broadway Ave, Medford, WI 54451-1608 2016-12-05
1376099523 Patricia Mcatee Counselor 243 N Holly St, Apt 1, Medford, OR 97501-5603 2016-08-28
1437512449 Sage Bosch Counselor 1003 E Main St # 104, Medford, OR 97504-7448 2016-03-29
1114385853 April Collins-macauley Counselor 234 W 5th St, Medford, OR 97501-2611 2016-02-09
1154714418 Marykay Powell Counselor 4175 Cedar Ln, Medford, OR 97501-9611 2015-03-11
1699163931 Violeta Iguchi Counselor 3501 Excel Dr Ste 225, Medford, OR 97504-8067 2015-01-08
1790109049 Ellen Lynch Counselor 3251 Route 112 Ste 2, Medford, NY 11763-1446 2014-02-06
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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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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