ALEXIS JACKSON (NPI# 1699389056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699389056 |
| Entity Type | Individual |
| Full Name | ALEXIS JACKSON |
| Practice Address |
19 N Grant St Ste 2c Hinsdale IL 60521-3368 |
| Practice Telephone | 6305808080 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.016241 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121378 | Alexis Adrianna Jackson | Technician | 1205 Parkman Rd Nw, Warren, OH 44485-2470 | 2019-12-13 |
| 1801430343 | Alexis Jackson | Specialist/Technologist | 22 Ashworth Ct, Conroe, TX 77385-3485 | 2019-10-28 |
| 1750980280 | Alexis Jackson | Pharmacist | 6535 Grayson Rd, Harrisburg, PA 17111-5150 | 2020-10-26 |
| 1710502596 | Alexis Jackson | Peer Specialist | 530 Kings County Dr, Hanford, CA 93230-3579 | 2020-06-08 |
| 1962026013 | Alexis Joan Jackson | Physician Assistant | 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | 2020-06-04 |
| 1275040248 | Alexis Monae Jackson | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2017-12-29 |
| 1164804753 | Alexis R Jackson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-19 |
| 1952553729 | Alexis Renee Jackson | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2008-10-10 |
| 1508984816 | Alexis Malaina Jackson | Occupational Therapist | 1800 Nations Dr, Suite 208, Gurnee, IL 60031-9168 | 2007-03-26 |
| Street Address |
19 N GRANT ST STE 2C |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1598377228 | Kelly Kenna | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2020-08-24 |
| 1225684087 | Elevate Counseling and Wellness LLC | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| 1881074599 | Zoheb Osman | Family Medicine | 911 N Elm St Ste 301, Hinsdale, IL 60521 | 2015-06-08 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838507 | Tatiana Nicole Duchak | Counselor | 115 S Vine St, Hinsdale, IL 60521-4083 | 2020-10-09 |
| 1699088401 | Kristen Kay Dunnett | Counselor | 15 Spinning Wheel Rd Ste 118, Hinsdale, IL 60521-2983 | 2010-07-21 |
| 1972779296 | Kurt Michael Hanus | Counselor | 115 E First St, #1s, Hinsdale, IL 60521-4254 | 2008-05-06 |
| 1053515098 | Ces Assoc | Counselor | 112 South Grant Street, Hinsdale, IL 60521 | 2007-06-13 |
| 1578628970 | James Francis Baker | Counselor | 112 S Grant St, Hinsdale, IL 60521-4051 | 2006-12-26 |
| 1376518860 | Judith Forsythe Powell | Counselor | 15 Spinning Wheel Rd, Suite 418, Hinsdale, IL 60521-2914 | 2006-02-20 |
| 1548861008 | Charlie Arthur Davitt | Counselor | 15 Spinning Wheel Rd Ste 30, Hinsdale, IL 60521-7651 | 2020-11-02 |
| 1336754811 | Katherine Brand | Counselor | 911 N Elm St Ste 316, Hinsdale, IL 60521-3642 | 2020-09-11 |
| 1598377228 | Kelly Kenna | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2020-08-24 |
| 1285267948 | Elizabeth Anne Wolcott | Counselor | 120 E Ogden Ave Ste 220, Hinsdale, IL 60521-3546 | 2020-02-20 |
| Find all providers in HINSDALE | ||||
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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.