ALLISON CHAREE JACKSON (NPI# 1669930517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669930517 |
| Entity Type | Individual |
| Full Name | ALLISON CHAREE JACKSON |
| Credential | LPCC |
| Practice Address |
1448 Diederich Blvd Russell KY 41169-1719 |
| Practice Telephone | 6068340020 |
| Practice Fax Number | 6068340049 |
| Mailing Telephone | 6068340020 |
| Mailing Fax Number | 6068340049 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
104618 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100587020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035978 | Allison Jackson | Physician Assistant | 4 Fawn Dr, Mahopac, NY 10541-2032 | 2020-08-31 |
| 1891322608 | Allison Arnold Jackson | Social Worker | 813 Mountshire Ter, Chester, VA 23836-5731 | 2020-03-24 |
| 1669845210 | Allison Nicole Jackson | Specialist/Technologist | 190 Waller Dr, Crittenden, KY 41030-8723 | 2015-11-04 |
| 1750720330 | Allison Ginette Jackson | Nurse Practitioner | 719 N Okatie Hwy # 170, Ridgeland, SC 29936-8276 | 2013-06-18 |
| 1619437787 | Allison Jackson | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave # Rabb-2, Boston, MA 02215-5400 | 2019-03-23 |
| 1396245452 | Allison J Jackson | Occupational Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2018-02-15 |
| 1679006183 | Allison Jackson | Pharmacist | 556 Northside Dr E, Statesboro, GA 30458-2191 | 2017-04-11 |
| 1669873261 | Allison Jackson | Counselor | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2014-09-15 |
| 1194929588 | Allison Giddings Jackson | Obstetrics & Gynecology | 209 Three Bridges Rd, Greenville, SC 29611-7549 | 2007-06-12 |
| 1124100334 | Allison M Jackson | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-19 |
| Street Address |
1448 DIEDERICH BLVD |
| City | RUSSELL |
| State | KY |
| Zip Code | 41169-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821008335 | Lena A Harmon | Psychologist | 1448 Diederich Blvd, Russell, KY 41169 | 2006-08-08 |
| 1831645779 | Courtney Joyce | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2016-08-31 |
| 1003218546 | Lighthouse Professional Counseling Services, Pllc | Counselor | 1448 Diederich Blvd, Russell, KY 41169-1719 | 2014-09-16 |
| 1184064164 | Lauren Michelle Clay | Social Worker | 1448 Diederich Blvd, Russell, KY 41169-1719 | 2013-07-05 |
| 1043499403 | Runyon Specific Chiropractic, LLC | Chiropractor | 1448 Diederich Blvd, Russell, KY 41169-1719 | 2007-11-01 |
| 1245436757 | Debora K Reeves | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552999 | Joseph Ray Bowling | Optometrist | 112 S Vinson Blvd, Louisa, KY 41169 | 2010-07-12 |
| 1508031980 | Alissa R Parker | Nurse Practitioner | 105 Thompson Road, Russell, KY 41169 | 2008-04-25 |
| 1770703829 | Elmer H Mullins Jr. | Dentist | 1452 Diederich Blvd, Russell, KY 41169 | 2007-04-30 |
| 1790862233 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 1490 Diederich Blvd, Russell, KY 41169 | 2006-11-01 |
| 1710073580 | Angela Dawn Lewis | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169 | 2006-10-05 |
| 1972600609 | Tiffany Blanton | Counselor | 1448 Diederich Boulveard, Russell, KY 41169 | 2006-09-17 |
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| 1801418181 | Nurseology, LLC | Case Management | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-10 |
| 1467768523 | Jill Renee Sheridan | Speech-Language Pathologist | 3040 Preakness Ct, Raceland, KY 41169-1093 | 2010-08-27 |
| 1336591163 | Sheridan Speech Therapy | Early Intervention Provider Agency | 3040 Preakness Ct, Raceland, KY 41169-1093 | 2016-07-05 |
| Find all providers in zip 41169 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972600609 | Tiffany Blanton | Counselor | 1448 Diederich Boulveard, Russell, KY 41169 | 2006-09-17 |
| 1831645779 | Courtney Joyce | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1124627484 | Mosaic Counseling Inc | Counselor | 2767 Veach Rd Ste D, Owensboro, KY 42303-6200 | 2020-10-19 |
| 1699382820 | Amy Brickler | Counselor | 1721 Us 31w Byp, Bowling Green, KY 42101-3030 | 2020-10-01 |
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1952927592 | Michaela Henderson | Counselor | 1100 Walnut St # 52, Owensboro, KY 42301-2956 | 2020-06-19 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| 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.