MS. ANITA GAIL GRAVES-JACKSON (NPI# 1922615913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922615913 |
| Entity Type | Individual |
| Full Name | MS. ANITA GAIL GRAVES-JACKSON |
| Credential | CACI |
| Practice Address |
2041 Martin Luther King Jr Ave Se Fl 3 Washington DC 20020-7024 |
| Practice Telephone | 2028897900 |
| Mailing Telephone | 2028897900 |
| Mailing Fax Number | 2026103095 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CACI1116 | DC | Behavioral Health & Social Service Providers |
| Street Address |
2041 MARTIN LUTHER KING JR AVE SE FL 3 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503477 | Darryl Lamont Anderson | Counselor | 124 15th St Se, Washington, DC 20003-1519 | 2020-09-18 |
| 1215543061 | The Dorm LLC | Counselor | 1818 N St Nw, Washington, DC 20036-2406 | 2020-09-17 |
| 1205444601 | Carl Nathaniel Boone | Counselor | 4414 3rd St Se # Eb, Washington, DC 20032-3229 | 2020-07-21 |
| 1154943363 | Brian Wesley Matthews | Counselor | 1400 Florida Ave Ne Apt 911, Washington, DC 20002-5028 | 2020-05-11 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1609403849 | Shajava Shevougne Miller | Counselor | 425 2nd St Nw Ste 2north, Washington, DC 20001-2003 | 2020-03-26 |
| 1194351304 | Lola Johnson | Counselor | 920 Bellevue St Se # Wdc, Washington, DC 20032-6030 | 2020-03-19 |
| 1437783396 | Empowerment Justice Center | Counselor | 4900 10th St Ne, Washington, DC 20017-3928 | 2020-02-28 |
| 1588215982 | Sara Osborne | Counselor | 164 Wykeham Road, Washington, CT 06793 | 2019-09-26 |
| 1093271975 | Clare H Harris | Counselor | 113 Armory Pointe, Washington, NC 27889-5085 | 2019-02-15 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on MS. ANITA GAIL GRAVES-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.