CHRISTINE JACKSON (NPI# 1861730020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861730020 |
| Entity Type | Individual |
| Full Name | CHRISTINE JACKSON |
| Credential | LLPC |
| Practice Address |
355 Settlers Rd Holland MI 49423-3704 |
| Mailing Address |
40 Jefferson Ave Se Grand Rapids MI 49503-4304 |
| Practice Telephone | 6167969595 |
| Practice Fax Number | 6167969596 |
| Mailing Telephone | 6164561443 |
| Mailing Fax Number | 6167326392 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401013371 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735774 | Christine A Jackson | Driver | 2791 Burri Ter, North Port, FL 34288-6337 | 2018-10-02 |
| 1366952947 | Christine Jackson | Massage Therapist | 5103 N 10th St, Mcallen, TX 78504-2835 | 2017-10-09 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1114286150 | Christine Stevens Jackson | Technician, Pathology | 161 Liberty St, Mc Clellanville, SC 29458-9721 | 2012-05-11 |
| 1275773665 | Christine Denise Jackson | Nurse Practitioner | 324 Courthouse Sq, Bay Minette, AL 36507-4809 | 2009-02-25 |
| 1114087996 | Christine Jackson | Family Medicine | 65 East 100 North, Gunnison, UT 84634-0759 | 2006-12-11 |
| 1861476889 | Christine Jackson | Internal Medicine | 162 W Central Ave, Eagar, AZ 85925-9707 | 2005-12-02 |
| 1164040515 | Christine Elizabeth Jackson | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2020-07-13 |
| 1437628252 | Christine Jackson | Behavior Technician | 1100 Melody Ln Ste 111, Roseville, CA 95678-5204 | 2018-11-21 |
| 1689129322 | Christine Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2016-08-23 |
| Street Address |
355 SETTLERS RD |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831407279 | Elizabeth R Harsevoort | Social Worker | 355 Settlers Rd, Holland, MI 49423-3704 | 2010-09-20 |
| 1962808246 | Sheryl Koehler | Counselor | 355 Settlers Rd, Holland, MI 49423-3704 | 2014-11-13 |
| 1518374834 | Kelly Delhaye | Psychologist | 355 Settlers Rd, Holland, MI 49423-3704 | 2014-07-18 |
| 1114224862 | Roslyn Terese Boone | Social Worker | 355 Settlers Rd, Holland, MI 49423-3704 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211413 | Marie J Hendricks | Counselor | 907 Bennett Pl, Holland, PA 18966-2636 | 2020-09-29 |
| 1649749425 | Beach Counseling, LLC | Counselor | 675 E 16th St Ste 45, Holland, MI 49423-5807 | 2018-11-21 |
| 1417438946 | Samantha Elaine Byrne | Counselor | 607 Kitlou Ct, Holland, OH 43528-9170 | 2018-08-23 |
| 1851827265 | Terry Hites | Counselor | 7015 Spring Meadows West, Suite 102, Holland, OH 43528 | 2017-05-04 |
| 1437603750 | Steven Crawley | Counselor | 16382 James St, Holland, MI 49424-6051 | 2016-08-04 |
| 1225495765 | Ashton Campbell | Counselor | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2016-01-27 |
| 1639598618 | Ilona Naroditskiy, LLC | Counselor | 130 Buck Rd Ste 201a2, Holland, PA 18966-1743 | 2014-04-07 |
| 1740557537 | Katrina Joy Meyer | Counselor | 14241 Rose Park Dr, Holland, MI 49424-1663 | 2011-11-21 |
| 1508157587 | Kristen Marie Hunsberger | Counselor | 194 1/2 S River Ave, Holland, MI 49423-3174 | 2011-04-26 |
| 1457545162 | Michael T. Mcmahon | Counselor | 12233 S Crystal Waters Dr Unit 8, Holland, MI 49424-7255 | 2007-09-05 |
| Find all providers in HOLLAND | ||||
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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.