MISS JAN MEREDITH JACKSON


Address: 160 Beechwood Ave, Pawtucket, RI 02860-5402
Phone: 4016676720

MISS JAN MEREDITH JACKSON (NPI# 1790284792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790284792
Entity Type Individual
Full Name MISS JAN MEREDITH JACKSON
Credential M.A.
Practice Address 160 Beechwood Ave
Pawtucket
RI 02860-5402
Mailing Address 249 Roosevelt Ave Unit 205
Pawtucket
RI 02860-2134
Practice Telephone 4016676720
Mailing Telephone 4017248400
Mailing Fax Number 4013053874
Enumeration Date 2018-02-05
Last Update Date 2018-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers JAN JACKSON

NPI Name Taxonomy Address Enumeration
1871535047 Jan Jackson Counselor 1460 W Main St, Suite 6, Sun Prairie, WI 53590-1846 2006-06-12
1831173251 Jan Leslie Jackson Physical Therapist 13470 Sw Farmington Rd, Beaverton, OR 97005-2618 2005-11-30

Office Location

Street Address 160 BEECHWOOD AVE
City PAWTUCKET
State RI
Zip Code 02860-5402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992772438 Leah Anne Berg Social Worker 160 Beechwood Ave, Pawtucket, RI 02860-3414 2006-03-03
1548752090 Lindsey Whitney Marriage & Family Therapist 160 Beechwood Ave, Pawtucket, RI 02860-5402 2018-05-31
1093230369 Tracy Elaine Gustafson Counselor 160 Beechwood Ave, Pawtucket, RI 02860-5402 2017-08-08
1710402193 Brittannie Elspeth Moroz Counselor 160 Beechwood Ave, Pawtucket, RI 02860-5402 2017-08-07
1851826531 Grace Moore Social Worker 160 Beechwood Ave, Pawtucket, RI 02860-5402 2017-05-01
1922545011 Madibet Gomez Counselor 160 Beechwood Ave, Pawtucket, RI 02860-5402 2017-01-26
1578005625 Michael Macedo Social Worker 160 Beechwood Ave, Pawtucket, RI 02860-5402 2016-11-07
1003273020 John Walker Counselor 160 Beechwood Ave, Pawtucket, RI 02860-5402 2016-01-21
1376916940 Judelysse Gomez Counselor 160 Beechwood Ave, Pawtucket, RI 02860-5402 2015-11-04
1215316005 Sando Moore Counselor 160 Beechwood Ave, Pawtucket, RI 02860-5402 2015-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972096923 Lmb Medical LLC Internal Medicine 127 School St, Pawtucket, RI 02860 2018-06-13
1215420435 Tyla Jackson Behavior Technician 70 Wood St Apt 22, Pawtucket, RI 02860 2018-06-12
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1730690488 Anthony Edwin Ramicone Physician Assistant 407 East Ave Ste 120, Pawtucket, RI 02860 2017-10-21
1669991352 Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC Clinic/Center 407 East Ave; Suite 110, Pawtucket, RI 02860 2017-09-13
1841716230 Ri Alternative Academy Management, LLC Local Education Agency (LEA) 249 Roosevelt Avenue, Pawtucket, RI 02860 2017-08-17
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1073051843 Laura Jane Amaral Counselor 750 East Ave Unit 1e, Pawtucket, RI 02860 2017-02-01
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346876810 Isabel A Miranda Counselor 315 East Ave Apt 3, Pawtucket, RI 02860-3854 2020-03-17
1184184228 Claudia Dorego Counselor 125 Goff Ave Unit 3301, Pawtucket, RI 02860-2997 2019-03-24
1174090104 Crystal Nico Counselor 184 School St, Pawtucket, RI 02860-5322 2018-10-29
1558893081 Alicia Paduan Counselor 249 Roosevelt Ave Suite 205, Pawtucket, RI 02860-2134 2017-04-03
1114379914 Kelly Louise Cunningham Counselor 626 Central Ave Apt 3, Pawtucket, RI 02861-1958 2016-07-06
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
1558759290 Amy Moreira Counselor 750 East Ave Ste Le, Pawtucket, RI 02860-6245 2015-01-05
1881016707 Ariadna Yadira Benitez Counselor 296 Parkview Dr Apt 8, Pawtucket, RI 02861-3963 2014-01-12
1104255264 Michelle Kay Crossley Counselor 750 East Ave Ste 1b, Pawtucket, RI 02860-6165 2013-11-08
1578819082 Niki M Best Counselor 100 Lafayette St Ste 108, Pawtucket, RI 02860-6008 2012-08-02
Find all providers in PAWTUCKET

Competitor

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City PAWTUCKET
Zip Code 02860

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Dataset Information

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.

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