RICK V JACKSON (NPI# 1730682824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730682824 |
| Entity Type | Individual |
| Full Name | RICK V JACKSON |
| Credential | MFT |
| Practice Address |
650 Sierra Madre Villa Ave Ste 110 Pasadena CA 91107-2000 |
| Practice Telephone | 6263519616 |
| Practice Fax Number | 6263519493 |
| Mailing Telephone | 6263519616 |
| Mailing Fax Number | 6263519493 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC83813 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306983549 | Rick Lee Jackson | Family Medicine | 5512 Ne 107th Ave, Vancouver, WA 98662-6169 | 2007-01-30 |
| 1437160124 | Rick H Jackson | Chiropractor | 630 National Highway, Thomasville, NC 27360 | 2006-08-10 |
| 1003277997 | Rick Jackson | Behavioral Analyst | 34225 N 27th Dr Ste 5, Phoenix, AZ 85085-6087 | 2016-03-19 |
| Street Address |
650 SIERRA MADRE VILLA AVE STE 110 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174876569 | Jennifer Brooke Camareno | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2000 | 2012-10-22 |
| 1376141721 | Laurie F Carmichael | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2040 | 2020-10-16 |
| 1497382444 | Kelsey M Sima | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2000 | 2020-03-26 |
| 1659907038 | Bianca Nicole Martinez | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2000 | 2020-03-18 |
| 1679118194 | Amanda Guthrie | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2040 | 2019-11-07 |
| 1184195471 | Andrea Forbes | Psychologist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2040 | 2018-12-11 |
| 1730672767 | Jonathan Damiani | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2040 | 2018-06-13 |
| 1750884748 | Leonore Sullivan Cash | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2000 | 2018-03-15 |
| 1780103358 | Kelly Aguirre Lmft | Marriage & Family Therapist | 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1598372153 | Donna Shanahan, Lmft | Marriage & Family Therapist | 595 E Colorado Blvd Ste 607, Pasadena, CA 91101-2015 | 2020-09-28 |
| 1568071298 | Brigit Jeffries | Marriage & Family Therapist | 426 S Los Robles Ave Apt E, Pasadena, CA 91101-3257 | 2020-07-29 |
| 1962028886 | Yuanzen Tung | Marriage & Family Therapist | 960 E Green St Ste 114, Pasadena, CA 91106-2401 | 2020-06-17 |
| 1780208801 | Ivy Zequeira | Marriage & Family Therapist | 130 S Euclid Ave Ste 2, Pasadena, CA 91101-2471 | 2020-06-04 |
| 1376167361 | Melba Rachel Mathew | Marriage & Family Therapist | 595 E Colorado Blvd Ste 211, Pasadena, CA 91101-2028 | 2020-06-04 |
| 1275156150 | Heidi Pidcoke | Marriage & Family Therapist | 696 S Madison Ave, Pasadena, CA 91106-3830 | 2020-05-26 |
| 1952924235 | Lilit Arvahi | Marriage & Family Therapist | 711 E Walnut St Ste 407, Pasadena, CA 91101-4403 | 2020-05-21 |
| 1730724022 | Patricia Carmalt | Marriage & Family Therapist | 97 W Bellevue Dr Ste 6, Pasadena, CA 91105-2501 | 2019-11-11 |
| 1457993339 | Lilit Melik-bakhshyan | Marriage & Family Therapist | 940 E Union St Ste 102, Pasadena, CA 91106-1780 | 2019-10-12 |
| 1295384022 | Jenny Berman | Marriage & Family Therapist | 745 S Marengo Ave Ste 108, Pasadena, CA 91106-4738 | 2019-09-04 |
| Find all providers in PASADENA | ||||
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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.