MS. DEBRA F JACKS (NPI# 1740526045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740526045 |
| Entity Type | Individual |
| Full Name | MS. DEBRA F JACKS |
| Credential | RAS |
| Practice Address |
700 Adeline St Oakland CA 94607-2608 |
| Practice Telephone | 5103023790 |
| Practice Fax Number | 5102720209 |
| Mailing Telephone | 5103023790 |
| Mailing Fax Number | 5102720209 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
941667294 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770611709 | Debra Jacks | Social Worker | 902 S High St, Columbia, TN 38401-3204 | 2007-03-01 |
| Street Address |
700 ADELINE ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679522627 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2006-05-08 |
| 1801497904 | Dominique Paiste-ponder | Social Worker | 700 Adeline St, Oakland, CA 94607-2608 | 2020-11-04 |
| 1710505656 | Rocio Montes | Dietitian, Registered | 700 Adeline St, Oakland, CA 94607-2608 | 2020-07-07 |
| 1437704723 | Grace Eunhae Kang | Social Worker | 700 Adeline St, Oakland, CA 94607-2608 | 2019-08-05 |
| 1164987012 | Allison Gremillion | Student in an Organized Health Care Education/Training Program | 700 Adeline St, Oakland, CA 94607-2608 | 2019-02-05 |
| 1982169827 | Stella Tan | Student in an Organized Health Care Education/Training Program | 700 Adeline St, Oakland, CA 94607-2608 | 2019-02-05 |
| 1093207029 | Carla Cheri Laster | Dental Hygienist | 700 Adeline St, Oakland, CA 94607-2608 | 2018-06-05 |
| 1154770840 | Sheila Miller | Counselor | 700 Adeline St, Oakland, CA 94607-2608 | 2016-06-03 |
| 1326479502 | Clinton Sandoval | Social Worker | 700 Adeline St, Oakland, CA 94607-2608 | 2013-12-12 |
| 1437592474 | Ronald Louis Trotter | Social Worker | 700 Adeline St, Oakland, CA 94607-2608 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330332 | Sara M Haile | Counselor | 339 Lester Ave Apt B, Oakland, CA 94606-1335 | 2020-09-14 |
| 1891327490 | Steven E Blackman | Counselor | 5701 Walnut St, Oakland, CA 94605-1050 | 2020-02-11 |
| 1437796851 | Allen Temple Health & Social Services Ministry | Counselor | 8501 International Blvd., C-105, Oakland, CA 94621-1549 | 2019-12-04 |
| 1225670763 | Greg Joseph Cesena | Counselor | 2321 International Blvd, Oakland, CA 94601-1018 | 2019-10-16 |
| 1588219877 | Ramon Deandre Hall | Counselor | 8425 Macarthur Blvd, Oakland, CA 94605-3553 | 2019-08-05 |
| 1497300925 | Sandra Campbell | Counselor | 7511 Hillside St, Oakland, CA 94605-2821 | 2019-08-01 |
| 1992357057 | Christina Joi Jefferson | Counselor | 2815 West St, Oakland, CA 94608-4535 | 2019-07-09 |
| 1518525674 | Ma Concepsion Rivera Gonzalez | Counselor | 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 | 2019-06-04 |
| 1952873184 | Brenna Mchugh | Counselor | 5250 Redondo Ave, Oakland, CA 94618-1047 | 2018-12-28 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| Find all providers in OAKLAND | ||||
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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.