JACKIELYN T JONES (NPI# 1760953855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760953855 |
| Entity Type | Individual |
| Full Name | JACKIELYN T JONES |
| Credential | CDP |
| Practice Address |
614 Division St # 19 Port Orchard WA 98366-4614 |
| Practice Telephone | 3604348548 |
| Mailing Telephone | 3604348548 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| 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) |
CP60640271 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 090515 | 05 |
| Street Address |
614 DIVISION ST # 19 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025948 | Haylee M Hanthorn | Counselor | 614 Division St # 19, Port Orchard, WA 98366-4614 | 2018-12-21 |
| 1801368758 | Nadia H Haija | Counselor | 614 Division St # 19, Port Orchard, WA 98366-4614 | 2018-12-17 |
| 1548731466 | Ashley E Sonju | Counselor | 614 Division St # 19, Port Orchard, WA 98366-4614 | 2018-12-17 |
| 1740751650 | Amy Lynn Sampson | Counselor | 614 Division St # 19, Port Orchard, WA 98366-4614 | 2018-12-17 |
| 1316418411 | Bergen S Starke | Counselor | 614 Division St # 19, Port Orchard, WA 98366-4614 | 2018-12-16 |
| 1750852869 | Douglas M Lawrence | Counselor | 614 Division St # 19, Port Orchard, WA 98366-4614 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574011 | Rebecca Lee-won Roth | Counselor | 661 Taylor St, Port Orchard, WA 98366-4300 | 2020-09-29 |
| 1710532346 | Lauren Marie Burt | Counselor | 614 Division St # Ms 19, Port Orchard, WA 98366-4614 | 2019-08-09 |
| 1124590385 | Scott Dalgleish | Counselor | 614 Division St, Port Orchard, WA 98366-4614 | 2018-12-27 |
| 1790257244 | Kylee Ann Hull-gingrey | Counselor | 614 Division St # Ms -19, Port Orchard, WA 98366-4614 | 2018-12-21 |
| 1194122424 | Michelle V Castro | Counselor | 1700 Se Mile Hill Dr Ste 220, Port Orchard, WA 98366-3553 | 2014-12-02 |
| 1518378900 | Malorie Woods | Counselor | 1014 Bay St Ste 24, Port Orchard, WA 98366-5244 | 2014-05-19 |
| 1497173074 | Rita Hardin | Counselor | 11379 Glenwood Rd Sw, Port Orchard, WA 98367-7763 | 2014-04-01 |
| 1336312107 | Mitchell Ralph Brown | Counselor | 1014 Bay Street, Suite 24, Port Orchard, WA 98366 | 2008-04-11 |
| 1518183763 | West Sound Treatment Center | Counselor | 1415 Lumsden Rd, Port Orchard, WA 98367-9179 | 2007-04-17 |
| 1205955390 | Betty C. Kassuhn | Counselor | 729 Prospect St, Suite 200, Port Orchard, WA 98366-5330 | 2007-03-28 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.