JACKSON COUNSELING ASSOCIATES (NPI# 1740840545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740840545 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNSELING ASSOCIATES |
| Practice Address |
4130 Linden Ave Ste 250 Dayton OH 45432-3048 |
| Mailing Address |
6504 Semmes Ln Dayton OH 45424-7117 |
| Practice Telephone | 9376819644 |
| Mailing Telephone | 9376819644 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | CARROLL S JACKSON (OWNER) |
| Authorized Official Telephone | 9376819644 |
| Authorized Official Credential | MSW,LISW-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4130 LINDEN AVE STE 250 |
| City | DAYTON |
| State | OH |
| Zip Code | 45432-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1003433848 | Liberty Counseling and Consulting LLC | Clinic/Center | 4769 Free Pike, Dayton, OH 45416-1111 | 2020-06-27 |
| 1720601636 | The Freedom Recovery Center LLC | Clinic/Center | 4130 Linden Ave Ste 185, Dayton, OH 45432-3040 | 2020-05-27 |
| 1457971210 | Collier-freed Psychotherapy, LLC | Clinic/Center | 7086 Corporate Way Ste 101, Dayton, OH 45459-4298 | 2020-04-22 |
| 1467096396 | Serendipity Community Care, LLC | Clinic/Center | 411 E 5th St, Dayton, OH 45402-2957 | 2019-11-04 |
| 1205390515 | South Dayton Counseling Center, Inc. | Clinic/Center | 925 Congress Park Dr Ste D, Dayton, OH 45459-4099 | 2019-01-31 |
| 1447792569 | Allied Medical Solutions LLC | Clinic/Center | 1675 Woodman Dr, Dayton, OH 45432-3336 | 2016-11-07 |
| 1043300395 | State of Nevada | Clinic/Center | 120 Pike St, Dayton, NV 89403-6758 | 2006-10-14 |
| 1811920556 | Eastway Corporation | Clinic/Center | 600 Wayne Ave, Dayton, OH 45410-1122 | 2006-07-08 |
| 1922040526 | Blue Mountain Counseling of Columbia County | Clinic/Center | 221 E Washington Ave, Dayton, WA 99328-1317 | 2006-06-11 |
| Find all providers in DAYTON | ||||
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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.