ANGELA JACKSON (NPI# 1922511419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922511419 |
| Entity Type | Individual |
| Full Name | ANGELA JACKSON |
| Practice Address |
1068 S Lake Dr Lexington SC 29073-3720 |
| Mailing Address |
2711 Colonial Dr Columbia SC 29203-6818 |
| Practice Telephone | 8037269452 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1104431790 | Angela P Jackson | Technician | 5528 Meadow Passage Dr, Canal Winchester, OH 43110-8397 | 2020-09-10 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1215329032 | Angela Yvette Jackson | Psychologist | 185 N Pearl Lake Cswy, #106, Altamonte Springs, FL 32714-2956 | 2015-03-03 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| Street Address |
1068 S LAKE DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29073-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841585379 | Brandy Grimes Bunton | Social Worker | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2011-06-13 |
| 1750916904 | Melissa Dacamara Hickey | Counselor | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-03-09 |
| 1255962544 | Maria D Almanza | Social Worker | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-27 |
| 1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
| 1972158087 | Benjamin P Kimball | Social Worker | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2019-08-06 |
| 1518454172 | Caleb Daniel Hamilton | Counselor | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2018-04-19 |
| 1144735598 | Melissa Rae Wilges | Counselor | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2017-12-07 |
| 1346799525 | Alan Shepherd | Counselor | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2016-09-28 |
| 1568910131 | Damon Dean Demery | Behavioral Analyst | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2016-09-13 |
| 1174930853 | Mariel Brooke Beroth | Counselor | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| 1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
| 1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
| 1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
| 1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
| 1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
| 1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
| Find all providers in zip 29073 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252080 | Shamara Huguely | Counselor | 455 Park Pl # 130, Lexington, KY 40511-1881 | 2020-07-08 |
| 1396373304 | Serenity Keepers | Counselor | 2033 Daniel Ct Apt 1, Lexington, KY 40504-1837 | 2020-03-27 |
| 1205482619 | Laura K. Wampler | Counselor | 423 Woodsway Dr, Lexington, NC 27292-4655 | 2019-08-12 |
| 1033677505 | Alyssa May Tremblay | Counselor | 389 Waller Ave Fl 2, Lexington, KY 40504-2900 | 2019-03-04 |
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1447745922 | Christopher Todd Cox | Counselor | 149 Deweese St, Lexington, KY 40507-1925 | 2018-06-26 |
| 1023503919 | Kimberly Kelly | Counselor | 1382 Bull Lea Rd, Lexington, KY 40511-1247 | 2018-06-25 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1700390218 | Courtney Nicole Shields | Counselor | 201 Mechanic St Fl 1, Lexington, KY 40507-1086 | 2017-11-20 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| Find all providers in LEXINGTON | ||||
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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.