DR. SHELLEY ANN JACKSON (NPI# 1679098347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679098347 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY ANN JACKSON |
| Credential | PHD, LPC |
| Practice Address |
3608 Salon Ct Denton TX 76210-0419 |
| Practice Telephone | (940) 268-9459 |
| Mailing Telephone | 9402689459 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
15616 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSED PROFESSIONAL COUNSELOR | 15616 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678114 | Shelley Douglas Jackson | Counselor | 302 W Hopkins St Ste 4, San Marcos, TX 78666-4465 | 2009-11-14 |
| 1205367877 | Shelley Jackson | Counselor | 1519 E Page Ave, Malvern, AR 72104-4521 | 2017-03-24 |
| 1053778308 | Shelley Helena Jackson | Speech-Language Pathologist | 448 Lewis Hargett Cir, Lexington, KY 40503-3594 | 2016-01-18 |
| Street Address |
3608 SALON CT |
| City | DENTON |
| State | TX |
| Zip Code | 76210-0419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170401 | Jolyn K Pritchett | Counselor | 109 S Woodrow Lane, Suite 300, Denton, TX 76205 | 2020-10-05 |
| 1255958815 | Shekelia Tairithia Dales | Counselor | 5029 Nautical Ln, Denton, TX 76210-0208 | 2020-06-30 |
| 1497372304 | Krisann Mayfield | Counselor | 152 Cunningham Rd, Denton, TX 76208-4130 | 2020-06-26 |
| 1275156267 | Cala High | Counselor | 4120 Boxwood Dr, Denton, TX 76208-7301 | 2020-05-25 |
| 1740802834 | Janie Darlene Trowbridge | Counselor | 3412 Hofstra Dr, Denton, TX 76210-8793 | 2020-05-11 |
| 1932729159 | Melissa Defrance Hsi | Counselor | 2813 Arabian Ave, Denton, TX 76210-8060 | 2020-04-17 |
| 1851934145 | Mehik Malik | Counselor | 109 S Woodrow Ln Ste 300, Denton, TX 76205-6324 | 2019-10-20 |
| 1306497276 | Joyful Restoration Counseling, Pllc | Counselor | 2214 Emery St Ste 530, Denton, TX 76201-2478 | 2019-09-23 |
| 1245890599 | Sarah Tucker | Counselor | 2220 San Jacinto Blvd Ste 340, Denton, TX 76205-7522 | 2019-06-18 |
| 1508334392 | Healing With Hope Counseling | Counselor | 2686 Old Alton Rd, Denton, TX 76210-7005 | 2018-11-09 |
| Find all providers in DENTON | ||||
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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.