ROSE ANNE JACKSON (NPI# 1609023902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609023902 |
| Entity Type | Individual |
| Full Name | ROSE ANNE JACKSON |
| Credential | M.S. |
| Practice Address |
631 N College Ave Bloomington IN 47404-3871 |
| Mailing Address |
5924 Petersburg Pkwy Indianapolis IN 47408 |
| Practice Telephone | 8123321262 |
| Mailing Telephone | 8123225620 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235400268 | Rose Marie Jackson | Counselor | 6730 Independence Boulevard, Suite 300, Baytown, TX 77521 | 2012-01-23 |
| 1316122088 | Rose Louise Jackson | Home Health | 3450 Indiana Ave, Saint Louis, MO 63118-3233 | 2007-12-31 |
| 1275742025 | Rose Marie Jackson | Social Worker | 3150 Parker Rd, Florissant, MO 63033-3760 | 2007-05-21 |
| 1699803510 | Rose Ann Jackson | Licensed Practical Nurse | 187 Clinton Ave, Apt B, Kingston, NY 12401-5028 | 2007-03-01 |
| 1699037705 | Rose Denise Jackson | Case Manager/Care Coordinator | 11565 Lone Desert Dr, 11565 Lone Desert Dr, Reno, NV 89506-5566 | 2012-06-13 |
| 1528214418 | Rose Jackson | Registered Nurse | 1035 Cheraw St., Bennettsville, SC 29512-0918 | 2008-08-12 |
| 1528197100 | Rose Jackson | Counselor | 413 Spring St, Chattanooga, TN 37405-3848 | 2007-03-02 |
| Street Address |
631 N COLLEGE AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855374 | Marsha Rose Mccarty | Psychologist | 631 N College Ave, Bloomington, IN 47404-3871 | 2006-03-22 |
| 1467619395 | Laura Ann Ingram | Counselor | 631 N College Ave, Bloomington, IN 47404-3871 | 2008-05-19 |
| 1568666113 | Margaret Louise York-garcia | Social Worker | 631 N College Ave, Bloomington, IN 47404-3871 | 2007-06-14 |
| 1003828880 | Jennifer Michael Spencer | Psychologist | 631 N College Ave, Bloomington, IN 47404-3871 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1376747048 | Donald R. Weller | Psychologist | 1714 E Circle Dr, Bloomington, IN 47401-6028 | 2007-06-14 |
| 1396947974 | Debra Dietrich | Psychologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2007-06-05 |
| 1619585973 | Poppi Stowe | Psychologist | 10435 Cedar Ave, Bloomington, CA 92316-2403 | 2020-07-22 |
| 1902414006 | Misha Graves | Psychologist | 482 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700523 | Julia Ann Edwards | Psychologist | 401 W Joliet St, Crown Point, IN 46307-3808 | 2020-11-02 |
| 1356955132 | Adam Grieve | Psychologist | 213 Buckingham Dr, Indianapolis, IN 46208-3625 | 2020-08-31 |
| 1831725498 | Alex Brewer | Psychologist | 925 N Meridian St Ste 100, Sunman, IN 47041-7771 | 2020-03-16 |
| 1174153332 | Scott Edmund Andrews | Psychologist | 105 S 225 E, Flora, IN 46929-9688 | 2020-01-16 |
| 1588208086 | Amanda Hudson | Psychologist | 8650 Columbia Ave, Munster, IN 46321-2518 | 2019-10-29 |
| 1306301387 | Benjamin A Cunningham | Psychologist | 1200 S Clinton St, Fort Wayne, IN 46802-3504 | 2019-02-05 |
| 1770048811 | Jacqueline Ansburg | Psychologist | 1767 Glasgow St, Valparaiso, IN 46385-7360 | 2019-02-03 |
| 1518443829 | Rebecca Gromala | Psychologist | 8410 Wicker Ave, Saint John, IN 46373-9710 | 2018-07-19 |
| 1154807360 | Lindsey Wixson | Psychologist | 15440 Mystic Rock Dr, Carmel, IN 46033-8146 | 2018-07-11 |
| 1669981411 | Catherine Carpenter | Psychologist | 8948 Chestnut Ln, Munster, IN 46321-3224 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on ROSE ANNE JACKSON.
| 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.