MS. GABRIELLE RAQUEL JACKSON (NPI# 1841797958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841797958 |
| Entity Type | Individual |
| Full Name | MS. GABRIELLE RAQUEL JACKSON |
| Practice Address |
1485 Saratoga Ave Ste 200 San Jose CA 95129-4965 |
| Practice Telephone | 8779910009 |
| Practice Fax Number | 8772079553 |
| Mailing Telephone | 8779910009 |
| Mailing Fax Number | 8772079553 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912447921 | Gabrielle Jackson | Counselor | 115 Chase Rd Nw, Huntsville, AL 35811-1119 | 2017-02-24 |
| 1215594676 | Gabrielle Marie Jackson | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-05-21 |
| 1053879957 | Gabrielle Jackson | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2019-03-09 |
| 1790241339 | Gabrielle Jackson | Social Worker | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2019-02-19 |
| 1730632514 | Gabrielle Jackson | Dentist | Unc School of Dentistry, 330 Brauer Hall Dept. of Graduate Prosthodontics, Chapel Hill, NC 27599-0001 | 2016-07-28 |
| 1922459478 | Gabrielle Lorraine Jackson | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave Fl 2, Monrovia, CA 91016-3427 | 2016-06-27 |
| 1932563079 | Gabrielle Jackson | Counselor | 2300 Northpoint Pkwy, Santa Rosa, CA 95407-5004 | 2016-04-05 |
| 1487651832 | Gabrielle K. Jackson | Family Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-06-30 |
| Street Address |
1485 SARATOGA AVE STE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391289 | Lok Sum Yuen | Speech-Language Pathologist | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2014-06-12 |
| 1376143305 | Marilyn Guerra | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-10-28 |
| 1245838127 | Brenda Ramirez-escobar | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-10-13 |
| 1609474642 | Monica Flynn | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-10-12 |
| 1427656461 | Jasmine Lanae White | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-10-12 |
| 1245838283 | Isabella Grace Blackman | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-10-12 |
| 1841897527 | Xochitl Hernandez | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-10-05 |
| 1710594148 | Elizabeth George Navarro | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-09-29 |
| 1073120564 | Angel Cruz Hernandez | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-09-28 |
| 1972110468 | Kateri Gurries | Behavior Technician | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| 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 |
|---|---|---|---|---|
| 1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
| 1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
| 1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
| 1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
| 1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| Find all providers in SAN JOSE | ||||
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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.