MS. OLIVIA JACKSON (NPI# 1700922176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700922176 |
| Entity Type | Individual |
| Full Name | MS. OLIVIA JACKSON |
| Credential | LMFT |
| Practice Address |
455 1st Suite B2 Arcuta CA 95521 |
| Mailing Address |
574 Cape Rd Mckinleyville CA 95519 |
| Practice Telephone | 7078398467 |
| Practice Fax Number | 7078224529 |
| Mailing Telephone | 7078398467 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC31751 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272759 | Olivia Jackson | Dietitian, Registered | 4800 48th St, Valley, AL 36854-3666 | 2020-10-12 |
| 1154944791 | Olivia Jackson | Student in an Organized Health Care Education/Training Program | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-05-18 |
| 1811315542 | Olivia Jackson | Specialist/Technologist | 5001 Rockside Rd, Independence, OH 44131-2172 | 2014-03-31 |
| 1467723320 | Olivia Jackson | Registered Nurse | 590 Avenue of The Americas, New York, NY 10011-2019 | 2012-01-24 |
| 1699078014 | Olivia Jackson | Licensed Vocational Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2010-12-07 |
| Street Address |
455 1ST SUITE B2 |
| City | ARCUTA |
| State | CA |
| Zip Code | 95521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
| 1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
| 1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
| 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.