MRS. MARILYN RENEE JACKSON (NPI# 1669693453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669693453 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN RENEE JACKSON |
| Credential | LPC |
| Practice Address |
1409 Mossy Rdg Desoto TX 75115-9700 |
| Practice Telephone | 2146820432 |
| Practice Fax Number | 9722832024 |
| Mailing Telephone | 2146820432 |
| Mailing Fax Number | 9722832024 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
TX | Behavioral Health & Social Service Providers | |
| X | 106H00000X | Marriage & Family Therapist | 201027 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174946115 | Marilyn Jackson | Pharmacist | 1055 Heathrow Dr, Frisco, TX 75034-7807 | 2014-01-28 |
| 1407157407 | Marilyn Sledge Jackson | Social Worker | 2325 Briar Gate Dr, Montgomery, AL 36116-2154 | 2010-11-06 |
| 1811097744 | Marilyn M. Jackson | Internal Medicine | 421 W 57th St, Suite B, New York, NY 10019-1763 | 2006-09-22 |
| 1144840992 | Marilyn Jackson | Nurse Anesthetist, Certified Registered | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2020-04-22 |
| 1356906887 | Marilyn K Jackson | Registered Nurse | 335 S Papa Ave, Kahului, HI 96732-1528 | 2019-05-09 |
| 1386143840 | Marilyn Jackson | Acupuncturist | 2990 S Sepulveda Blvd Ste 205, Los Angeles, CA 90064-3973 | 2018-02-09 |
| 1699847913 | Marilyn Orio Jackson | Nurse Practitioner | 41715 Winchester Rd, Suite 204, Temecula, CA 92590-4808 | 2006-11-14 |
| 1972502318 | Marilyn Jackson | Anesthesiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-19 |
| Street Address |
1409 MOSSY RDG |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780297770 | John Nweke | Counselor | 1229 E Pleasant Run Rd Ste 200, Desoto, TX 75115-4214 | 2020-08-28 |
| 1316562275 | Allison Moore | Counselor | 510 Shennandoah Dr, Desoto, TX 75115-2941 | 2020-06-16 |
| 1750946216 | Sheba Vical Hamilton | Counselor | 1604 Bramble Creek Dr, Desoto, TX 75115-1733 | 2019-05-09 |
| 1356904932 | An Inspired Hope Counseling Pllc | Counselor | 1510 N Hampton Rd Ste 220, Desoto, TX 75115-8301 | 2019-04-18 |
| 1679072193 | Rogelio Manuel Velazquez | Counselor | 1007 N Cockrell Hill Rd, Desoto, TX 75115-2717 | 2018-02-10 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1366965659 | Leon A. Maryland | Counselor | 413 Rainier Street, Desoto, TX 75115 | 2017-07-19 |
| 1326403981 | Oran L. Pryor Ma, Lpc | Counselor | 104 Spinner Rd, Desoto, TX 75115-4430 | 2015-12-28 |
| 1679975494 | Cleveland Jones Jr. | Counselor | 629 Gardenia St, Desoto, TX 75115-1450 | 2014-09-24 |
| 1568861730 | Kaiesha L. Flucas | Counselor | 1229 E Pleasant Run Rd Ste 305, Desoto, TX 75115-4229 | 2014-08-13 |
| Find all providers in DESOTO | ||||
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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.