JENEE JACKSON (NPI# 1588276687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588276687 |
| Entity Type | Individual |
| Full Name | JENEE JACKSON |
| Practice Address |
2545 San Pablo Ave Oakland CA 94612-1121 |
| Mailing Address |
18 Los Cerritos Dr Vallejo CA 94589-2607 |
| Practice Telephone | 5104467160 |
| Mailing Telephone | 5108097291 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2545 SAN PABLO AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441763 | East Bay Community Recovery Project | Substance Abuse Rehabilitation Facility | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2007-05-31 |
| 1023615861 | Madelaine Bixler | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2020-10-05 |
| 1053954743 | Linda Ozarow | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2019-10-24 |
| 1245883123 | Simone Brodner | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2019-07-19 |
| 1366001364 | Stefanie Holly Kral | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2019-06-12 |
| 1174181960 | Jacqueline Susan Cooper | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2019-06-05 |
| 1912466632 | Sophia Zohdi | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2019-03-13 |
| 1881160588 | Melonie Lynn Sweeney | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2018-10-19 |
| 1962987669 | Tammy Webster Brown | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2018-09-27 |
| 1093297053 | Molly Ann Bettencourt | Counselor | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330332 | Sara M Haile | Counselor | 339 Lester Ave Apt B, Oakland, CA 94606-1335 | 2020-09-14 |
| 1891327490 | Steven E Blackman | Counselor | 5701 Walnut St, Oakland, CA 94605-1050 | 2020-02-11 |
| 1437796851 | Allen Temple Health & Social Services Ministry | Counselor | 8501 International Blvd., C-105, Oakland, CA 94621-1549 | 2019-12-04 |
| 1225670763 | Greg Joseph Cesena | Counselor | 2321 International Blvd, Oakland, CA 94601-1018 | 2019-10-16 |
| 1588219877 | Ramon Deandre Hall | Counselor | 8425 Macarthur Blvd, Oakland, CA 94605-3553 | 2019-08-05 |
| 1497300925 | Sandra Campbell | Counselor | 7511 Hillside St, Oakland, CA 94605-2821 | 2019-08-01 |
| 1992357057 | Christina Joi Jefferson | Counselor | 2815 West St, Oakland, CA 94608-4535 | 2019-07-09 |
| 1518525674 | Ma Concepsion Rivera Gonzalez | Counselor | 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 | 2019-06-04 |
| 1952873184 | Brenna Mchugh | Counselor | 5250 Redondo Ave, Oakland, CA 94618-1047 | 2018-12-28 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| Find all providers in OAKLAND | ||||
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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.