JAMES L JACKSON (NPI# 1598104044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598104044 |
| Entity Type | Individual |
| Full Name | JAMES L JACKSON |
| Credential | MSW,LICDC |
| Practice Address |
1515 E Broad St Columbus OH 43205-1550 |
| Mailing Address |
3578 W. Broad Columbus OH 43228-1550 |
| Practice Telephone | 6142945677 |
| Mailing Telephone | 6148706670 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2014-03-10 |
| 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) |
101193 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1101526 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICDC | 101193 | 01 |
| OH | LSW | 1101526 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Street Address |
1515 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366466955 | Columbus Area Integrated Health Services, Inc. | Counselor | 1515 E Broad St, Columbus, OH 43205-1550 | 2006-07-27 |
| 1316501513 | Pamela Cornley | Peer Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-04-24 |
| 1174083158 | Salam Atala | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-25 |
| 1487113601 | Mechelle Darby | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1164981353 | Jessica Goliday | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1053870238 | Michelle Rogers | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1255890455 | Derrick Goliday | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1013476290 | Johnny Turner | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1275099012 | Clinton Dade | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-02-18 |
| 1346704236 | Ashton Singhal | Counselor | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1497373575 | Mettle Services LLC | Counselor | 5120 Godown Rd, Columbus, OH 43220-7202 | 2020-07-06 |
| 1861017014 | Christine Sutton | Counselor | 2502 Middle View Dr, Columbus, IN 47201-1459 | 2020-06-13 |
| 1609499896 | Adrian D Wilson | Counselor | 3575 Macon Rd Ste 2, Columbus, GA 31907-8247 | 2020-05-21 |
| 1750902250 | Redefined LLC | Counselor | 2242 S Hamilton Rd Ste 208, Columbus, OH 43232-4300 | 2020-05-06 |
| 1164057113 | Starks Counseling and Consultation Services LLC | Counselor | 175 S. Third Street, Suite 200, Columbus, OH 43215-5194 | 2020-03-10 |
| 1457984171 | Kathleen Bell | Counselor | 4425 Bentwood Dr, Columbus, GA 31907-1832 | 2020-02-20 |
| 1306479860 | As You Are Housing for Teens | Counselor | 5875 Chantry Dr, Columbus, OH 43232-4764 | 2020-02-12 |
| 1417589185 | Bailey Ehlers | Counselor | 1441 Bethel Rd, Columbus, OH 43220-2001 | 2020-02-10 |
| 1720619372 | Aaron Saez | Counselor | 230 Fenway Rd, Columbus, OH 43214-1410 | 2020-02-03 |
| Find all providers in COLUMBUS | ||||
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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.