SHARON MARILYN JACKSON (NPI# 1649697251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649697251 |
Entity Type | Individual |
Full Name | SHARON MARILYN JACKSON |
Credential | LPC |
Practice Address |
3636 Crossings Drive Prescott AZ 86305 |
Mailing Address |
Po Box 12412 Prescott AZ 86304-2412 |
Practice Telephone | 9282731159 |
Mailing Telephone | 9282731159 |
Enumeration Date | 2014-03-20 |
Last Update Date | 2017-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC14431 | AZ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
1891311734 | Sharon Rena Jackson | Health Educator | 4504 Lady Rita Ln, Raleigh, NC 27610-8715 | 2020-06-16 |
1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
1851719298 | Sharon Jackson | Counselor | 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 | 2014-04-02 |
1487877387 | Sharon K. Jackson | Occupational Therapist | 9335 Riggs St, Beaumont, TX 77707-1107 | 2007-04-10 |
1346311008 | Sharon Denise Jackson | Nutritionist | 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126 | 2006-11-13 |
1134200389 | Sharon Ruth Jackson | Contractor | 2100 N. Hwy 360, Suite 1704, Grand Prairie, TX 75050-1062 | 2006-10-17 |
1912094335 | Sharon L Jackson | Pediatrics | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2006-10-06 |
1558973164 | Sharon Lee Jackson | Behavior Technician | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2020-08-17 |
Street Address |
3636 CROSSINGS DRIVE |
City | PRESCOTT |
State | AZ |
Zip Code | 86305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
1851667257 | Chapter 5 Recovery | Community/Behavioral Health | 709 W Gurley St, Prescott, AZ 86305 | 2012-03-29 |
Find all providers in zip 86305 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063978781 | Terence Maguire Pilicy | Counselor | 812 Valley St Ste 7, Prescott, AZ 86305-1826 | 2019-02-18 |
1952875577 | Sean James Mcloughlin | Counselor | 122 N Cortez St Ste 107, Prescott, AZ 86301-3022 | 2019-01-16 |
1447725767 | Laura Henry Oliver | Counselor | 711 Seri Dr, Prescott, AZ 86303-7214 | 2018-10-13 |
1164923025 | Virginia Wenzel | Counselor | 2063 Meadowbrook Rd, Prescott, AZ 86303-5696 | 2018-02-26 |
1518364652 | Kathleen Hald | Counselor | 204 N Mount Vernon Ave, 112 East Merrit Street, Prescott, AZ 86301-3108 | 2014-12-03 |
1134543481 | R. Smyly Addiction Clinical Services LLC | Counselor | 819 W Gurley St Unit C, Prescott, AZ 86305-3626 | 2014-02-06 |
1134435019 | Penny Collins | Counselor | 332 Circle P Dr, Prescott, AZ 86303-5525 | 2010-08-30 |
1699089730 | Debbie Ritterbush | Counselor | 914 E Gurley St Ste 200, Prescott, AZ 86301-3245 | 2010-07-30 |
1093961708 | Tracey Frederiksen | Counselor | 2228 Lakewood Dr, Prescott, AZ 86301-4476 | 2008-08-13 |
1679747505 | Nazcare - New Hope Recovery Center | Counselor | 599 White Spar Rd, Prescott, AZ 86303-4627 | 2008-04-22 |
Find all providers in PRESCOTT |
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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.