NATASHA JACKSON (NPI# 1770059040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770059040 |
| Entity Type | Individual |
| Full Name | NATASHA JACKSON |
| Credential | LCAS-A |
| Practice Address |
1302 Willow St Greenville NC 27858-1405 |
| Practice Telephone | 2525082173 |
| Mailing Telephone | 2525082173 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
23120 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1598113680 | Natasha Jackson | Technician, Other | 16175 Collinson Ave, Eastpointe, MI 48021-3653 | 2016-05-30 |
| 1336520030 | Natasha Jackson | Licensed Practical Nurse | 185 Kosciuszko St, Apt 1d, Brooklyn, NY 11216-1042 | 2015-06-18 |
| 1326446428 | Natasha Jackson | Massage Therapist | 2930 Harvey St, Rochester Hills, MI 48309-3641 | 2014-12-05 |
| 1265845960 | Natasha Jackson | Home Health Aide | 1061 Southern Blvd Nw, Warren, OH 44485-2245 | 2014-06-10 |
| 1952641805 | Natasha V Jackson | Counselor | 180 Sheppard Rd Ste 115, Jackson, MS 39206-4033 | 2013-02-28 |
| 1881220879 | Natasha C Jackson | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-03-21 |
| 1730647009 | Natasha Jackson | Social Worker | 2506 Willowbrook Pkwy Ste 102, Indianapolis, IN 46205-1542 | 2019-03-06 |
| 1164997227 | Natasha Monique Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2018-10-04 |
| 1427563253 | Natasha Jackson | Counselor | 1144 Coolidge Blvd Ste C, Lafayette, LA 70503 | 2017-12-01 |
| Street Address |
1302 WILLOW ST |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039764 | Kenneth Scott Pritchard | Counselor | 1853 Ida and Mary Mclawhorn Rd, Greenville, NC 27858-9158 | 2020-09-28 |
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1104448711 | Horsemanship Connection, LLC | Counselor | 3219 Landmark St Ste 9b, Greenville, NC 27834-7688 | 2020-05-18 |
| 1457972523 | Ivan Ronnie Quan | Counselor | 221 Adley Way, Greenville, SC 29607-6511 | 2020-04-30 |
| 1508409103 | Shamesa N'cole Teel | Counselor | 1721 Crest Cir, Greenville, NC 27834-4735 | 2019-10-26 |
| 1174170898 | Sholonda James Brown | Counselor | 2211 Hyde Dr Apt E, Greenville, NC 27858-8845 | 2019-08-19 |
| 1639721277 | Stepping Stones Therapeutic Services for Children and Adults, Pllc | Counselor | 3105 Evans St Ste E, Greenville, NC 27834-6899 | 2019-07-14 |
| 1194287607 | Strickland Consulting & Counseling | Counselor | 2220 Chavis Dr # B, Greenville, NC 27858-8189 | 2019-04-03 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1831655893 | Steven Mcdowell | Counselor | 155 Brozzini Ct Ste A-d, Greenville, SC 29615-5340 | 2019-02-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
Please comment or provide details below to improve the information on NATASHA JACKSON.
| 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.