MELODY JACKSON (NPI# 1841790524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841790524 |
| Entity Type | Individual |
| Full Name | MELODY JACKSON |
| Credential | LCPC |
| Practice Address |
699 Farmhouse Ln Bozeman MT 59715-9402 |
| Practice Telephone | 4065566500 |
| Practice Fax Number | 4063330627 |
| Mailing Telephone | 4065566500 |
| Mailing Fax Number | 4063330627 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
BBH-LCPC-LIC-298 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619216413 | Melody Jackson | Social Worker | 1263 Prince Dr, South Holland, IL 60473-1128 | 2013-02-14 |
| 1861605339 | Melody Lyn Jackson | Dental Hygienist | 630 Broadview St, Spring Valley, CA 91977-5522 | 2007-05-08 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1902203557 | Melody Felissa Jackson | Registered Nurse | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2014-11-25 |
| 1215282181 | Melody Jackson | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-17 |
| 1669506218 | Melody V Jackson | Counselor | 35 K St Ne, Washington, DC 20002-4216 | 2007-03-15 |
| Street Address |
699 FARMHOUSE LN |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-9402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649588963 | Jean Lydia Moylan | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2010-09-21 |
| 1114524956 | Kirsten Theresa Burkart | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2020-10-05 |
| 1518564541 | Stevie-leigh Danae Haughian | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2020-10-02 |
| 1609423003 | Karen Monica Patty | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2019-08-20 |
| 1962061887 | Amanda Jane Fahlstrom | Social Worker | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2019-06-13 |
| 1083182513 | Brooke Huffman | Registered Nurse | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-11-02 |
| 1053801894 | Larisa Lynn Hammond | Nurse Practitioner | 699 Farmhouse Ln, Bozeman, MT 59715 | 2018-05-17 |
| 1447748603 | Brandy Renee Houser | Social Worker | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-04-24 |
| 1164920088 | Jentry Ann Wheaton | Nurse Practitioner | 699 Farmhouse Ln, Bozeman, MT 59715 | 2018-01-25 |
| 1790291615 | Kassandra Haughton | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112520 | Autumn R Clowes | Counselor | 20 Arrowhead Trl, Bozeman, MT 59718-9452 | 2020-10-25 |
| 1043824683 | Jacqueline Bence | Counselor | 2246 Boot Hill Ct # 3, Bozeman, MT 59715-7248 | 2020-09-01 |
| 1851902423 | Danielle Josephine Stack | Counselor | 2115 Durston Rd Ste 10, Bozeman, MT 59718-2800 | 2020-08-16 |
| 1700496338 | Emily M Tage | Counselor | 2417 W Main St Ste 2, Bozeman, MT 59718-3811 | 2020-08-07 |
| 1629686811 | Terese E Jeppson | Counselor | 1103 S Willson Ave, Bozeman, MT 59715-5248 | 2020-07-14 |
| 1700413366 | Brooke Sibary | Counselor | 1609 W Babcock St Ste A, Bozeman, MT 59715-4018 | 2020-03-24 |
| 1922658889 | Amanda Lynn Kuehn Forney | Counselor | 601 Nikles Dr Ste 12, Bozeman, MT 59715-2570 | 2019-09-12 |
| 1538728043 | Joanna Wright | Counselor | 1195 Stoneridge Dr # 4a-b, Bozeman, MT 59718-7048 | 2019-06-08 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1528574423 | Michael Wayne Hetherington | Counselor | 4255 Kimberwicke St, Bozeman, MT 59718-5700 | 2017-12-14 |
| Find all providers in BOZEMAN | ||||
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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.