LATOYA JACKSON (NPI# 1952510398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952510398 |
| Entity Type | Individual |
| Full Name | LATOYA JACKSON |
| Credential | MS,QP |
| Practice Address |
5041 New Centre Dr Ste 209 Wilmington NC 28403-1624 |
| Mailing Address |
19 Holland Dr Castle Hayne NC 28429-5914 |
| Practice Telephone | 9103928956 |
| Mailing Telephone | 3134687794 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697137 | Latoya Jackson | Homemaker | 480 Harmony Ln, Campbell, OH 44405-1213 | 2020-10-19 |
| 1659807477 | Latoya Jackson | Health Maintenance Organization | 5742 Jodphur Ct, Tallahassee, FL 32303-6748 | 2017-05-11 |
| 1538512017 | Latoya Jackson | Nurse Practitioner | 1500 N University Dr Ste 202, Coral Springs, FL 33071-6072 | 2016-07-19 |
| 1659764645 | Latoya Jackson | Driver | 4918 Neo Pkwy, Garfield Hts, OH 44128-3104 | 2015-03-15 |
| 1528607827 | Latoya Monique Jackson | Behavior Technician | 17845 Ironwood Lane, Victorville, CA 92395-5166 | 2020-01-03 |
| 1669021192 | Latoya Jackson | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2019-09-07 |
| 1871066688 | Latoya Yvette Jackson | Occupational Therapy Assistant | 10400 S Roberts Rd, Palos Hills, IL 60465-1972 | 2019-01-03 |
| 1295207819 | Latoya Jackson | Marriage & Family Therapist | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-12-20 |
| 1609327477 | Latoya Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-10-17 |
| 1336527001 | Latoya Jackson | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2015-05-13 |
| Street Address |
5041 NEW CENTRE DR STE 209 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414671 | Caring Senior Services Franchise Partnership Lp | Meals | 5041 New Centre Dr Ste 209, Wilmington, NC 28403-1624 | 2019-12-20 |
| 1487974051 | Keisha Michelle Malloy | Counselor | 5041 New Centre Dr Ste 209, Wilmington, NC 28403-1624 | 2010-06-07 |
| 1366697591 | Nicole Jeneen Harris | Counselor | 5041 New Centre Dr Ste 209, Wilmington, NC 28403-1624 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1194355289 | New Hope Addiction Care, Inc. | Counselor | 1213 Culbreth Dr Ste 422, Wilmington, NC 28405-3639 | 2020-01-17 |
| 1477047934 | Rebecca Harrison Mullaney | Counselor | 8120 Sidbury Rd, Wilmington, NC 28411-7946 | 2018-06-19 |
| 1710412218 | Tonya Harris | Counselor | 218 W 20th St, Wilmington, DE 19802-4022 | 2017-04-22 |
| 1952842007 | Joseph Rengifo | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2017-03-08 |
| 1245616259 | Miranda Slater | Counselor | 201 N Front St Ste 215, Wilmington, NC 28401-5095 | 2015-08-03 |
| 1255729570 | Chevelle Hytower | Counselor | 911 N 5th Ave, Wilmington, NC 28401-3428 | 2015-01-08 |
| 1083019491 | Moses L Crenshaw IIi | Counselor | 611 S Van Buren St, Wilmington, DE 19805-4342 | 2014-10-28 |
| 1821492448 | Sharon Wendy Boyd | Counselor | 2304 Patwynn Rd, Wilmington, DE 19810-2731 | 2014-10-09 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1659795581 | Shannon Ayres | Counselor | 1004 Shallcross Ave, Wilmington, DE 19806-3235 | 2014-02-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on LATOYA 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.