JENNIFER JACKSON (NPI# 1699105007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699105007 |
| Entity Type | Individual |
| Full Name | JENNIFER JACKSON |
| Credential | RDS, CIT |
| Practice Address |
3900 Armour Ave Fort Smith AR 72904-4317 |
| Practice Telephone | 4797838849 |
| Practice Fax Number | 4797831914 |
| Mailing Telephone | 4797838849 |
| Mailing Fax Number | 4797831914 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1013332535 | Jennifer Jackson | Speech-Language Pathologist | 1105 Mcmurdo Cir, Castle Rock, CO 80108-2821 | 2014-02-19 |
| 1891053526 | Jennifer Dawn Jackson | Counselor | 240 Orville Bates Ln, Estill Springs, TN 37330-4278 | 2012-05-01 |
| 1205149382 | Jennifer Lynn Lawrence Jackson | Pharmacist | 4718 Limestone Rd, Wilmington, DE 19808-1928 | 2010-07-19 |
| Street Address |
3900 ARMOUR AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72904-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689912461 | Cindy Stokes | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2013-01-29 |
| 1306473855 | Johnna Smothers | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-25 |
| 1811524200 | Megan Reid | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-25 |
| 1811524358 | Kelsie Jaggers | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-25 |
| 1366079808 | Melinda Stephens | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-25 |
| 1750918439 | Dana Crawford | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-24 |
| 1659908333 | Rebecca Cordell | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-24 |
| 1407483381 | Kramer Bass | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2020-03-23 |
| 1275918302 | Shawna Turner | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2015-07-30 |
| 1184010282 | Gateway Recovery Center | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1649799081 | Timothy Morris | Case Manager/Care Coordinator | 5900 Kinkead Ave 477, Fort Smith, AR 72904 | 2017-09-18 |
| 1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
| 1104175280 | Chelsea Beth Phillips Claybrook | Physical Therapy Assistant | 1801 South 74th St., Fort Smith, AR 72904 | 2012-09-05 |
| 1437408762 | Misty Denise Flemming | Physical Therapy Assistant | 4401 Yorkshire Dr., Fort Smith, AR 72904 | 2012-08-31 |
| 1831473321 | Rebecca Lynn Reif | Speech-Language Pathologist | 5100 Kelley Highway, Fort Smith, AR 72904 | 2011-10-03 |
| 1760542443 | Neill Hamilton Treece | Dentist | 1528 No 39th, Fort Smith, AR 72904 | 2006-12-11 |
| 1285690842 | Fort Smith Home Health Agency Inc | Home Infusion | 220 N 12th Street, Ft Smith, AR 72904 | 2006-04-24 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| Find all providers in zip 72904 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| 1528511151 | Lisa Laney | Counselor | 4943 Old Greenwood Rd Ste 6, Fort Smith, AR 72903-6923 | 2016-08-01 |
| 1164887600 | Lori Brady | Counselor | 5401 Rogers Ave Ste 200, Fort Smith, AR 72903-3763 | 2015-12-29 |
| 1669879904 | Greenleaf Professional Counseling LLC | Counselor | 3514 Country Club Ave, Suite 2, Fort Smith, AR 72903-3300 | 2014-12-02 |
| 1235486085 | Sara Rone | Counselor | 4005 N 57th St, Fort Smith, AR 72904-3217 | 2012-08-11 |
| 1912271826 | Shawn Kispert | Counselor | 4313 S P St, Fort Smith, AR 72903-3103 | 2012-02-24 |
| 1629367743 | Angie Ramsey | Counselor | 1428 N 38th St, Fort Smith, AR 72904-6917 | 2011-03-29 |
| 1811228455 | Rachel Christine Olienyk | Counselor | 7701 South Zero Street, Fort Smith, AR 72917-1495 | 2010-01-21 |
| 1083813471 | Erin May Carroll | Counselor | 1340 S. Waldron, Fort Smith, AR 72903-2556 | 2007-07-16 |
| 1356547442 | Christa Means | Counselor | 4019 Massard Rd, Fort Smith, AR 72903-6221 | 2007-06-25 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72904 |
Please comment or provide details below to improve the information on JENNIFER JACKSON.
| 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.