JEANINE BUCKSON (NPI# 1790101475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790101475 |
| Entity Type | Individual |
| Full Name | JEANINE BUCKSON |
| Credential | MS |
| Practice Address |
432 N 6th St Philadelphia PA 19123-4004 |
| Mailing Address |
100 E Glenolden Ave Apt T3 Glenolden PA 19036-2240 |
| Practice Telephone | 2159252400 |
| Mailing Telephone | 2672536247 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
432 N 6TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19123-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808435 | Leslie Wan-yi Tay | Dentist | 432 N 6th St, Philadelphia, PA 19123-4004 | 2020-07-08 |
| 1962975425 | Zaifang Yu | Nurse Practitioner | 432 N 6th St, Philadelphia, PA 19123-4004 | 2019-01-08 |
| 1932695442 | Universal Pharmacy Services, LLC | Pharmacy | 432 N 6th St, Philadelphia, PA 19123-4004 | 2018-07-09 |
| 1952828808 | Elizabeth Thi Nguyen | Nurse Practitioner | 432 N 6th St, Philadelphia, PA 19123-4004 | 2017-08-22 |
| 1467908186 | Kimberly Briggs | Counselor | 432 N 6th St, Philadelphia, PA 19123-4004 | 2016-09-01 |
| 1508236076 | Ishual Davis | Counselor | 432 N 6th St, Philadelphia, PA 19123-4004 | 2015-09-28 |
| 1679989305 | Ning Jiang | Social Worker | 432 N 6th St, Philadelphia, PA 19123-4004 | 2014-07-02 |
| 1073945598 | Qin Jiang | Dental Hygienist | 432 N 6th St, Philadelphia, PA 19123 | 2013-08-07 |
| 1962703314 | Greater Philadelphia Health Action Inc. | Clinic/Center | 432 N 6th St, Philadelphia, PA 19123-4004 | 2010-11-16 |
| 1336465848 | Lei O Zhang | Internal Medicine | 432 N 6th St, Philadelphia, PA 19123-4004 | 2010-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301842 | Regina Ann Griffin | Massage Therapist | 721 West Brown Street, Apt 1r, Philadelphia, PA 19123 | 2020-09-16 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1649761677 | Dawn Webster | Acupuncturist | 466 N 10th St, Philadelphia, PA 19123 | 2018-05-25 |
| 1629566237 | Tri-county Home Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 443-45 W. Girard Ave, Ste 2b, Philadelphia, PA 19123 | 2018-04-30 |
| 1508389214 | Greater Delaware Valley Society of Transplant Surgeons | Organ Procurement Organization | 401 N. 3rd Street, Philadelphia, PA 19123 | 2017-07-25 |
| 1770987588 | Eugene Borys | Social Worker | 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 | 2014-10-22 |
| 1134521255 | 9th & Girard Pharmacy Inc | Pharmacy | 901 W Girard Ave, #105, Philadelphia, PA 19123 | 2014-09-19 |
| 1508271925 | Waleska Santiago, PC | Internal Medicine | 1 Brown Street Unit 1414, Philadelphia, PA 19123 | 2014-06-24 |
| 1366865537 | Keli Hunter | Chiropractor | 683 N. Broad Street, Philadelphia, PA 19123 | 2014-01-24 |
| Find all providers in zip 19123 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1144833153 | Taylor Daly | Counselor | 7002 Cresheim Rd, Philadelphia, PA 19119-2535 | 2020-08-28 |
| 1871117093 | Arnold Tim Massaquoi | Counselor | 461 Aurania St, Philadelphia, PA 19128-4010 | 2020-06-03 |
| 1891315453 | Alice D Gresham | Counselor | 2025 Conlyn St, Philadelphia, PA 19138-2925 | 2020-04-23 |
| 1518587864 | Wesley G Harris IIi | Counselor | 1621 N 54th St, Philadelphia, PA 19131-4002 | 2020-04-16 |
| 1497383954 | R Denise Coles | Counselor | 7320 Sommers Rd, Philadelphia, PA 19138-1330 | 2020-03-31 |
| 1023645058 | Sicklecelldeiseasassociationofamericaphiladelphia/delawarevalleychapte | Counselor | 5300 Wynnefield Ave Fl 2, Philadelphia, PA 19131-2318 | 2020-03-27 |
| 1245873736 | Antonia Cianfrani | Counselor | 1901 S 9th St Ste 520, Philadelphia, PA 19148-2391 | 2019-10-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19123 |
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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.