MS. ELIZABETH ARLENE JACKSON (NPI# 1649694233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649694233 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ARLENE JACKSON |
| Credential | LCSW |
| Practice Address |
922 12th St Rawlins WY 82301-6517 |
| Practice Telephone | 2087949588 |
| Mailing Telephone | 2087949588 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PCSW-535 | WY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMSW-31478 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSE | 3387 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| 1366078800 | Elizabeth Jackson | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2020-03-17 |
| Street Address |
922 12TH ST |
| City | RAWLINS |
| State | WY |
| Zip Code | 82301-6517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583606 | Kyliah Petrita Ferris | Speech-Language Pathologist | 1801 Edinburgh Street #2, Rawlins, WY 82301 | 2020-09-16 |
| 1427571454 | Levi Pearce Brinkerhoff | Dentist | 2900 S Higley Blvd, Rawlins, WY 82301 | 2017-07-21 |
| 1861928012 | Stephanie Murry | Speech-Language Pathologist | 1801 Edinburgh, Rawlins, WY 82301 | 2017-05-10 |
| 1992167811 | Gwen Louise Gale | Registered Nurse | 2 North Cherokee Rd, Rawlins, WY 82301 | 2016-03-22 |
| 1194109520 | Alison Brown | Case Management | 2014 E Cedar St Suite B, Rawlins, WY 82301 | 2015-07-15 |
| 1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
| 1093149965 | Michele Dolores Deherrera | Social Worker | 1800 Edinburgh, Rawlins, WY 82301 | 2013-08-28 |
| 1295019693 | Amber Jeanne Green | Case Manager/Care Coordinator | 1209 Lambda Dr, Rawlins, WY 82301 | 2011-10-04 |
| 1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
| 1588990949 | Skylar Jason Brenden | Chiropractor | 801 West Maple, Rawlins, WY 82301 | 2009-10-20 |
| Find all providers in zip 82301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033588389 | Brooke Dotterer-mendez | Counselor | 1904 Edinburgh St, Rawlins, WY 82301-4556 | 2015-09-16 |
| 1124201678 | Marnie J. Earl | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2007-12-06 |
| 1588797153 | Ronald Elmer Blake Sr. | Counselor | 721 W Maple St, Rawlins, WY 82301-5447 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965719 | Jerry Tyrone Smith | Counselor | 6818 Pasadena Rd, Cheyenne, WY 82009-2812 | 2020-06-02 |
| 1427684877 | Ashley V Evans | Counselor | 1629 Washakie Loop Unit A, Cheyenne, WY 82001-7186 | 2020-03-18 |
| 1912552001 | King & Samson Consulting Services LLC | Counselor | 831 E 7th St, Sheridan, WY 82801-3106 | 2019-08-06 |
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1376100776 | Jason M Reasor | Counselor | 24 Country Club Ln., Pinedale, WY 82941 | 2019-05-22 |
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1427528488 | Richard Percifield | Counselor | 400 N 1st East St Ste 107a, Green River, WY 82935-4247 | 2018-12-03 |
| 1548748593 | Susan F Markus | Counselor | 4318 Green Prairie Pl, Cheyenne, WY 82001-2303 | 2018-08-01 |
| 1649757196 | Jose Guillermo Rivas | Counselor | 140 E Broadway Ave # B-13, Jackson, WY 83001-8632 | 2018-07-26 |
| 1265931935 | Lyndsey Ellen Burton | Counselor | 400 S Kendrick Ave Ste 202, Gillette, WY 82716-3800 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
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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.