DESIREE JACKSON (NPI# 1861989576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861989576 |
| Entity Type | Individual |
| Full Name | DESIREE JACKSON |
| Practice Address |
906 W Olive St Apt 31 West Monroe LA 71292-6400 |
| Practice Telephone | 3183488754 |
| Mailing Telephone | 3183488754 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699150268 | Desiree Jackson | Early Intervention Provider Agency | 2127 Marion Pl, North Baldwin, NY 11510-2921 | 2015-07-24 |
| 1932724937 | Desiree Nicole Jackson | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-15 |
| 1679009534 | Desiree Jackson | Licensed Practical Nurse | 3000 Goffs Falls Rd, Ste 101, Manchester, NH 03103-6109 | 2017-05-11 |
| Street Address |
906 W OLIVE ST APT 31 |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71292-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222190 | Kasi Lively | Physician Assistant | 1879 Caples Rd, West Monroe, LA 71292 | 2016-09-01 |
| 1780029918 | Earlysteps | Home Health | 130 Laureli Ln, West Monroe, LA 71292 | 2013-05-01 |
| 1356587372 | Donald Shane Debnam | Nurse Practitioner | 1070 Jonesboro Road, Gpi - Plant 70 Medical Center, West Monroe, LA 71292 | 2008-12-22 |
| 1063572428 | Mr. Discount Drugs, Inc. | Pharmacy | 1106 Jonesboro Road, West Monroe, LA 71292 | 2006-12-08 |
| 1356376602 | West Monroe Care Center LLC | Family Medicine | 1416 Natchitaches Road, West Monroe, LA 71292 | 2006-07-12 |
| 1912936980 | Advanced Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 213 Expo Circle, West Monroe, LA 71292 | 2006-07-02 |
| 1023054871 | Healthcare Warehouse LLC | Durable Medical Equipment & Medical Supplies | 209 Expo Circle, Ste A, West Monroe, LA 71292 | 2006-06-21 |
| 1831154350 | Julee Lynn Winkler | Physical Therapist | 619 Kendall Ridge, West Monroe, LA 71292 | 2006-04-18 |
| 1033236393 | Monpsych Care Professional Corporation | Psychiatry & Neurology | 110 Elsinore Dr, West Monroe, LA 71292-0170 | 2007-03-23 |
| 1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
| Find all providers in zip 71292 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008108 | Beautiful Minds Counseling & Wellness LLC | Counselor | 107 Contempo Ave # 3, West Monroe, LA 71291-5382 | 2020-03-17 |
| 1780222638 | Peaceful Hearts Counseling, LLC | Counselor | 2120 Cypress St, West Monroe, LA 71291-4487 | 2019-12-11 |
| 1356988224 | Anastassia Mullins | Counselor | 222 Bell Ln Ste 3, West Monroe, LA 71291-6303 | 2019-12-10 |
| 1528589892 | Latoya Anderson Pierce | Counselor | 2106 N 7th St Ste 129, West Monroe, LA 71291-4483 | 2017-06-27 |
| 1205362704 | Restored Counseling LLC | Counselor | 2109 N 7th St, Suite 129, West Monroe, LA 71291-4460 | 2017-05-04 |
| 1235674748 | Sabrina Barber | Counselor | 222 Bell Ln, West Monroe, LA 71291-6302 | 2016-12-20 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1518411370 | Lonnie Cooper I | Counselor | 707 Harrell Rd, West Monroe, LA 71291-9744 | 2016-08-10 |
| 1558815506 | Felicia Douglas | Counselor | 241 Blanchard St, West Monroe, LA 71291-7395 | 2016-08-08 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| Find all providers in WEST MONROE | ||||
| City | WEST MONROE |
| Zip Code | 71292 |
Please comment or provide details below to improve the information on DESIREE JACKSON.
| 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.