CALVIN JACKSON


Address: 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621
Phone: 2707691304

CALVIN JACKSON (NPI# 1649226549) 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) 1649226549
Entity Type Individual
Full Name CALVIN JACKSON
Credential LPA
Practice Address 1311 N Dixie Hwy
Elizabethtown
KY 42701-2621
Mailing Address 107 Cranes Roost Ct
Elizabethtown
KY 42701-3650
Practice Telephone 2707691304
Practice Fax Number 2702348028
Mailing Telephone 2707652605
Mailing Fax Number 2707661222
Enumeration Date 2006-05-25
Last Update Date 2008-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0274 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 30605018 05
KY ANTHEM 000000338946 01

Other Providers CALVIN JACKSON

NPI Name Taxonomy Address Enumeration
1053701003 Calvin Jackson Massage Therapist 101 E Main St, Ste 201, Monroe, WA 98272-1519 2015-01-29
1740398338 Calvin R Jackson Internal Medicine 2123 Wrightsboro Rd, Augusta, GA 30904-4777 2006-08-25

Office Location

Street Address 1311 N DIXIE HWY
City ELIZABETHTOWN
State KY
Zip Code 42701-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619929379 Carla A Mackey Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2006-05-17
1346630639 Christina Spalding Social Worker 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2015-01-26
1376950303 Karen Hall Counselor 1311 N Dixie Hwy, Building A, Elizabethtown, KY 42701-2621 2014-07-22
1760899504 Ronald Allan Lemasters Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-07-14
1730599150 Katelyn Gosnell Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-05-07
1265852057 Shirley Anne Pittman Artis Community/Behavioral Health 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-04-21
1669891693 John Alexander Brundage Counselor 1311 N Dixie Hwy, Building C, Elizabethtown, KY 42701-2621 2014-04-07
1730505058 Sytrina Yvette Turner Social Worker 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-03-11
1720400583 Veness Nesha Hall Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-01-14
1093137861 Brittiney Washington Counselor 1311 N Dixie Hwy, Bldg C, Elizabethtown, KY 42701-2621 2014-01-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693104 James G. Thornton Specialist/Technologist, Other 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 2020-09-11
1033720727 Rebecca Williams Pharmacist 1602 N Dixie Highway, Elizabethtown, KY 42701 2020-08-14
1245855709 Mckenzie Jo Clemons Speech-Language Pathologist 107 Financial Drive, Elizabethtown, KY 42701 2020-06-10
1215565825 Christina Nichole Hobson Peer Specialist 413 E Dixie Ste 106, Elizabethtown, KY 42701 2020-03-30
1336701275 Cassandra Elizabeth Baker Nurse Practitioner 2005 N. Dixie Highway, Elizabethtown, KY 42701 2019-07-01
1487134276 Ryan Leon Hogan Marriage & Family Therapist 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 2018-08-21
1033623921 Kayla Russell Behavior Technician 529 Westport Road, Elizabethtown, KY 42701 2017-11-30
1578087128 Brenda Gale Nunn Case Manager/Care Coordinator 2600 Ring Road, Elizabethtown, KY 42701 2017-07-26
1013451277 Chelsea Danielle Thorn Nurse Practitioner 2005 N. Dixie Hwy, Elizabethtown, KY 42701 2016-12-07
1003364597 Joseph Michael Senay Pharmacist 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 2016-09-14
Find all providers in zip 42701

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447893227 Jaci Verghese Counselor 134 Crimson Ln, Elizabethtown, PA 17022-8745 2019-10-23
1003319641 Bd Counseling Services LLC Counselor 28 S Poplar St Ste 102, Elizabethtown, PA 17022-2158 2018-03-09
1619483112 Rodney Lynn Mulhollem Counselor 144 S Market St, Elizabethtown, PA 17022-2309 2017-12-19
1013421676 Michele Marie Heffner Counselor 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 2017-11-18
1699293670 Phyllis K Lonneman Counselor 208 N Mulberry St, Elizabethtown, KY 42701-1464 2017-08-30
1487196473 Coastal Horizons Center Inc. Counselor 209 Peanut Plant Road, Elizabethtown, NC 28337 2016-11-08
1114383742 Vanessa Garr Counselor 1113 Northridge Dr Unit D, Elizabethtown, KY 42701-5160 2016-01-12
1316348949 Pamela Dawn Humfleet Counselor 4000 N Dixie Hwy Ste 4, Elizabethtown, KY 42701 2014-09-15
1871904805 Lynndi Sue Lockenour Counselor 708 Westport Rd # Suie103, Elizabethtown, KY 42701 2014-05-13
1861802027 Cortney Michelle Emberson Counselor 4000 N Dixie Hwy Ste 6, Elizabethtown, KY 42701-4650 2014-04-28
Find all providers in ELIZABETHTOWN

Competitor

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City ELIZABETHTOWN
Zip Code 42701

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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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