MRS. ELIZABETH GRACE JACKSON (NPI# 1699130245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699130245 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH GRACE JACKSON |
| Credential | MA |
| Practice Address |
Philhaven 283 Butler Road Mt Gretna PA 17064 |
| Mailing Address |
Po Box 550 Philhaven 283 Butler Road Mt Gretna PA 17064 |
| Practice Telephone | 7172738871 |
| Practice Fax Number | 7176752990 |
| Mailing Telephone | 7172738871 |
| Mailing Fax Number | 7176752990 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| 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 |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1649694233 | Elizabeth Arlene Jackson | Counselor | 922 12th St, Rawlins, WY 82301-6517 | 2014-02-18 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| 1366078800 | Elizabeth Jackson | Counselor | 4902 S Cedar St, Lansing, MI 48910-5474 | 2020-03-17 |
| Street Address |
PHILHAVEN 283 BUTLER ROAD |
| City | MT GRETNA |
| State | PA |
| Zip Code | 17064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952781023 | Jennifer Taylor | Counselor | 283 S. Butler Road, Mt Gretna, PA 17064 | 2015-06-04 |
| 1215379318 | James Owen Rimel Jr. | Social Worker | 283 Butler Road, Mt. Gretna, PA 17064 | 2013-07-18 |
| 1548554884 | Cynthia Theresa Fonder | Psychiatry & Neurology | 283 S. Butler Rd, Mt. Gretna, PA 17064 | 2011-06-03 |
| 1518286491 | Pa Evaluations, LLC | Clinic/Center | 302 6th St., Mount Gretna, PA 17064 | 2010-05-18 |
| 1942451471 | Glenn Acker | Psychologist | 304 Sixth St, Mount Gretna, PA 17064 | 2008-10-02 |
| 1619195070 | John Francis Dolena | Psychiatry & Neurology | 283 S. Butler Rd., Philhaven Behavioral Health Services, Mt Gretna, PA 17064 | 2007-04-23 |
| 1487878773 | Philhaven Residential | Psychiatric Residential Treatment Facility | 643 Horseshoe Pk, Lebanon, PA 17064 | 2007-04-11 |
| 1487665857 | Jose Angel Alfano | Psychiatry & Neurology | 283 South Butler Road, Mt Gretna, PA 17064 | 2006-08-11 |
| 1275563140 | Olaniyi I Oluleye | Psychiatry & Neurology | 283 S Butler Road, Mt Gretna, PA 17064 | 2006-07-04 |
| 1932158417 | Marthalee T Brod | Psychologist | 222 Harvard Ave, Box 155, Mount Gretna, PA 17064 | 2006-05-10 |
| Find all providers in zip 17064 | ||||
| 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 |
|---|---|---|---|---|
| 1003018987 | Judy Rupp | Counselor | 283 S Butler Road, Mt Gretna, PA 17064-0550 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810781 | Marina Kogot James | Counselor | 123 New St, Glenside, PA 19038-4511 | 2020-10-30 |
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1245838309 | Karen Cowell | Counselor | 220 Redfield Dr, Oakdale, PA 15071-1732 | 2020-10-12 |
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1477169217 | Sharmayne Bolling | Counselor | 272 East Connelly Blvd, Sharon, PA 16146 | 2020-09-17 |
| 1235745209 | Kelli Ann Frey | Counselor | 523 Lenore Pl, Reading, PA 19609-1223 | 2020-09-16 |
| 1750996179 | Angelina Privitera | Counselor | 1093 Douglass Dr, Apt A, Boyertown, PA 19512 | 2020-09-11 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1366057135 | Meg Barnes | Counselor | 3501 Forbes Ave # 9, Pittsburgh, PA 15213-3317 | 2020-09-09 |
| 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.