HOLLY SUZANNE JACKSON (NPI# 1922596220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922596220 |
Entity Type | Individual |
Full Name | HOLLY SUZANNE JACKSON |
Practice Address |
1100 Walnut St Owensboro KY 42301-2956 |
Mailing Address |
Po Box 1637 Owensboro KY 42302-1637 |
Practice Telephone | 2706896500 |
Mailing Telephone | 2706896500 |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 3872 | KY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 3827 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
1689156721 | Holly Alegro Jackson | Non-emergency Medical Transport (VAN) | 10550 Murat Dr, Saint Louis, MO 63136-4524 | 2018-09-05 |
1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
1013212711 | Holly Jackson | Social Worker | 511 W 86th Ter, Kansas City, MO 64114-2822 | 2011-01-11 |
1083882278 | Holly Jackson | Licensed Practical Nurse | 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 | 2008-02-11 |
1548753700 | Holly Jean Jackson | Behavior Technician | 19800 Village Office Ct, Bend, OR 97702-1872 | 2018-06-12 |
1720575392 | Holly Jackson | Nurse Anesthetist, Certified Registered | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-04-18 |
1427576511 | Holly M Jackson | Nurse Practitioner | 905 Dixie St, Carrollton, GA 30117-4417 | 2017-09-08 |
1427597301 | Holly Jackson | Registered Nurse | 1109 Jones St, Kennett, MO 63857-3824 | 2017-02-13 |
1023551223 | Holly V Jackson | Advanced Practice Midwife | 1900 S Tuttle Ave, Sarasota, FL 34239-3114 | 2016-11-21 |
Street Address |
1100 WALNUT ST |
City | OWENSBORO |
State | KY |
Zip Code | 42301-2956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689274912 | Colleen Elizabeth Bosley | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-27 |
1679170898 | Raymond Ramon Lowery | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-01 |
1033725353 | Cheryl Elder | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-09-22 |
1659998466 | Mackenzie T Sorrels | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-26 |
1063038396 | Brittany Allyse Whitehouse | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-23 |
1336763812 | Serenity Miller | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-01 |
1497386254 | Denise Rebecca Pearson | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-30 |
1023649928 | Julie A Stallings | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-29 |
1760028104 | Allison Warnick | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-20 |
1265077002 | Kalyn D Jones | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
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 |
---|---|---|---|---|
1033741947 | Annemarie Lucile Armistead | Counselor | 3808 S Griffith Ave, Owensboro, KY 42301-6852 | 2020-02-08 |
1962049171 | Preston Jude Middleton | Counselor | 829 E Byers Ave, Owensboro, KY 42303-8820 | 2019-12-06 |
1013471358 | Transcendence, LLC | Counselor | 810 Princeton Pkwy Ste B, Owensboro, KY 42301-6166 | 2019-01-30 |
1629562590 | Monica Beth Taylor | Counselor | 5336 Sheffield Dr, Owensboro, KY 42301-8356 | 2018-06-14 |
1730672890 | Joaquim Gomes | Counselor | 718 Cottage Dr, Owensboro, KY 42301-3614 | 2018-06-12 |
1346630530 | Mary Louise Edwards | Counselor | 6133 Sutter Loop East, Owensboro, KY 42303 | 2015-01-27 |
1194738823 | Charlene Michelle Greer | Counselor | 1301 Saint Ann St, Owensboro, KY 42303-3048 | 2006-08-14 |
1679170898 | Raymond Ramon Lowery | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-01 |
1497386254 | Denise Rebecca Pearson | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-30 |
1023649928 | Julie A Stallings | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-29 |
Find all providers in OWENSBORO |
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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.