KENDRA JACKSON


Address: 90 Hospital Dr, Athens, OH 45701-2301
Phone: 7405923091

KENDRA JACKSON (NPI# 1801297056) 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) 1801297056
Entity Type Individual
Full Name KENDRA JACKSON
Practice Address 90 Hospital Dr
Athens
OH 45701-2301
Practice Telephone 7405923091
Mailing Telephone 7405923091
Enumeration Date 2014-09-08
Last Update Date 2014-09-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
C1000594 OH Behavioral Health & Social Service Providers

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1306126867 Kendra Lorraine Jackson Counselor 2525 Riva Rd Ste 142, Annapolis, MD 21401-7411 2011-08-27
1548583164 Kendra D Jackson Behavioral Analyst 8136 James Ct Apt A, Oklahoma City, OK 73145-4446 2010-03-10
1578726204 Kendra Y Jackson Licensed Vocational Nurse 568 S Winery Ave, #104, Fresno, CA 93727-8239 2008-07-02
1649776469 Kendra Joy Jackson Pediatrics 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 2018-04-02

Office Location

Street Address 90 HOSPITAL DR
City ATHENS
State OH
Zip Code 45701-2301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982693867 Robby W Wyatt Psychiatry & Neurology 90 Hospital Dr, Athens, OH 45701-2301 2005-10-13
1366049462 Alec Kurth Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-10-02
1265047336 Amy Bakies Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-09-15
1770198426 Devin Warner Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-09-10
1629683529 Celia D Anderson Counselor 90 Hospital Dr, Athens, OH 45701-2301 2020-09-09
1649884651 Kyrsten Copley Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-09-08
1407469851 Rebecca Salmons Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-08-26
1487265203 Jacelynn Renae Sharp Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-08-14
1437760899 Ryan Gambill Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-08-11
1164033536 Delia M Palmisano Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2020-08-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912508797 Vince R Koping Pharmacist 929 East State St, Athens, OH 45701 2020-11-06
1164051926 Rachel Staker Student in an Organized Health Care Education/Training Program 86 Circle Drive, Suite 203, Athens, OH 45701 2020-04-03
1932736709 Maria Augusta Suarez-hamman Student in an Organized Health Care Education/Training Program 86 Columbus Circle, Suite 203, Athens, OH 45701 2020-03-23
1831746882 Justin Joseph Moakler Specialist/Technologist Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 2019-08-23
1275186991 Barry Brady Psychologist Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 2019-07-22
1821559691 Mary N Lee Student in an Organized Health Care Education/Training Program 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 2019-03-26
1275007692 Gabrielle Ruth Wesemeyer Student in an Organized Health Care Education/Training Program 6 South Congress Street, Athens, OH 45701 2019-01-18
1528551918 Bradford Thomas Meyers Psychologist 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 2018-06-11
1912499344 William Monopoli Student in an Organized Health Care Education/Training Program 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 2018-06-01
1477044113 59 Green Ltd. Taxi 14 Cook Drive, Athens, OH 45701 2018-05-29
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906507 Kaye Elizabeth Waldrep Counselor 330 Winterberry Dr, Athens, GA 30606-3208 2020-09-10
1669094314 Erica Ashley Dell Counselor 1 Huntington Rd Ste 704, Athens, GA 30606-7215 2020-05-15
1871145235 Jm Professional Counseling Services, Pllc Counselor 119 South Palestine St, Athens, TX 75751-8710 2019-07-15
1396225298 Samuel Ray Evans Counselor 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 2018-08-20
1558848598 Tara Thomas Counselor 545 Research Dr Ste D, Athens, GA 30605-2745 2018-07-23
1487151437 Beth Porter Counselor 485 Huntington Rd Ste 196, Athens, GA 30606-1845 2018-04-06
1467982512 Beth Kay Mcdonald Counselor 455 S Lumpkin St, Athens, GA 30605 2017-06-12
1134666845 Teresa C Ruiz Counselor 585 Research Drive, Suite B, Athens, GA 30605-2761 2017-01-20
1659827673 Latarious Clark Counselor 135 Brentwood Dr, Athens, GA 30605-3901 2016-08-30
1376996017 Celina Vereen Counselor 2340 Prince Ave Ste B, Athens, GA 30606-6004 2016-07-18
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Competitor

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City ATHENS
Zip Code 45701

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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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