MR. ANTOINE TREVOR JACKSON (NPI# 1881992006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881992006 |
| Entity Type | Individual |
| Full Name | MR. ANTOINE TREVOR JACKSON |
| Credential | LAPC |
| Practice Address |
1475 Mecaslin St Nw Apt 7306 Atlanta GA 30309-2287 |
| Practice Telephone | 4049252276 |
| Mailing Telephone | 4049252276 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 002389 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745088 | Antoine Jackson | Counselor | 401 S Tustin St, Orange, CA 92866-2550 | 2018-06-26 |
| 1629528849 | Antoine Jackson | Social Worker | 9080 Beale Rd, Building 62, 3rd Floor, Bethesda, MD 20889-5633 | 2016-10-12 |
| Street Address |
1475 MECASLIN ST NW APT 7306 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-2287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| 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 |
|---|---|---|---|---|
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1447878616 | Githealthy Inc. | Counselor | 3553 Forrest Park Rd Se, Atlanta, GA 30354-3414 | 2020-07-14 |
| 1881212785 | Chardae N Barnes | Counselor | 2470 Cheshire Bridge Rd Ne Apt 1422, Atlanta, GA 30324-4041 | 2020-07-08 |
| 1336769470 | Tavonda Hudson | Counselor | 411 Luckie St Nw Unit 302, Atlanta, GA 30313-2058 | 2020-04-18 |
| 1023647633 | Luciana Sacramento Aguiar | Counselor | 1230 Peachtree St Ne Ste 1904, Atlanta, GA 30309-3574 | 2020-04-06 |
| 1083240782 | Humanicurity Inc. | Counselor | 1048 Flat Shoals Rd Apt 303, Atlanta, GA 30349-7336 | 2020-03-14 |
| 1831730522 | Morgan Clary | Counselor | 2614 Clifton Downs Trl Se, Atlanta, GA 30316-4058 | 2019-10-03 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1447725775 | Lauren Derossette | Counselor | 1850 Cotillion Dr Unit 4308, Atlanta, GA 30338-7904 | 2018-10-13 |
| Find all providers in ATLANTA | ||||
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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.