ERICA LYNNETTE JACKSON (NPI# 1962639070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962639070 |
| Entity Type | Individual |
| Full Name | ERICA LYNNETTE JACKSON |
| Credential | AT |
| Practice Address |
1371 Highway 278 W Monticello AR 71655-9663 |
| Mailing Address |
5537 Bleaux Ave Springdale AR 72762-0737 |
| Practice Telephone | 8703672143 |
| Practice Fax Number | 8703672145 |
| Mailing Telephone | 4798725580 |
| Mailing Fax Number | 4798725581 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |
| 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 |
|---|---|---|---|---|
| 1710596978 | Erica Lakisha Jackson | Occupational Therapist | 212 Fairview Park Dr, Dublin, GA 31021-2547 | 2020-07-23 |
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1528672680 | Erica Paige Jackson | Pharmacist | 250 Mount Lebanon Blvd, Pittsburgh, PA 15234-1252 | 2020-09-04 |
| 1679122824 | Erica Lynn Jackson | Physical Therapist | 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277-4790 | 2019-09-10 |
| 1558916577 | Erica Jackson | Driver | 861 Corporate Dr Ste 101, Lexington, KY 40503-5461 | 2019-08-06 |
| 1912471442 | Erica Chavez Jackson | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2019-01-17 |
| 1699245571 | Erica Jackson | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2018-12-04 |
| 1245725050 | Erica L Jackson | Behavior Technician | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2018-06-25 |
| 1518384817 | Erica Marie Jackson | Specialist | 814 Shanahan Rd Ste 100, Lewis Center, OH 43035-9192 | 2014-03-25 |
| 1437393345 | Erica Christian Jackson | Speech-Language Pathologist | 2730 Isabella Blvd, Suite 10, Jacksonville Beach, FL 32250-8001 | 2009-04-22 |
| Street Address |
1371 HIGHWAY 278 W |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-9663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861509374 | Carmen Lynn Hudgins | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2006-08-23 |
| 1255692869 | Kristen Brotherton | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-31 |
| 1366703936 | Labommie Everett | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-31 |
| 1699036293 | Pearlene Harris | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-31 |
| 1861753451 | Brian Robinson | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-31 |
| 1790045532 | Allison Riels-bussmann | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-28 |
| 1124388301 | Teresa Cone | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-22 |
| 1790043461 | Amanda Jean Buchler | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-05-01 |
| 1568733392 | Michele L Dodson | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-01-25 |
| 1437420650 | Lisa Dornell Daniels | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2012-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| 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 |
|---|---|---|---|---|
| 1861993438 | Darla Ann Crabb | Counselor | 920 W Executive Ct, Monticello, IN 47960-1961 | 2018-02-28 |
| 1194180588 | Shanomia Francis | Counselor | 180 Florida St, Monticello, FL 32344-2217 | 2015-12-29 |
| 1699149872 | Atarri Hall | Counselor | 790 Tung St, Monticello, FL 32344-2830 | 2015-11-25 |
| 1194194076 | Emily Stell | Counselor | 600 Highway 425 N, Suite B, Monticello, AR 71655-4020 | 2015-09-21 |
| 1730510454 | Lisa Roberts | Counselor | 1440 Old Bethel Church Road, Monticello, KY 42633-1210 | 2013-12-05 |
| 1710320882 | Jarryn Robinson | Counselor | 583 W Gaines St, Monticello, AR 71655-4637 | 2013-04-09 |
| 1114270451 | Katherine Sue Wisehart | Counselor | 105 East Lafayette, Monticello, MO 63457 | 2012-10-24 |
| 1225381056 | Samantha Mckinney | Counselor | 571 W Gaines St, Monticello, AR 71655-4637 | 2012-10-17 |
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1508974197 | Piatt County Mental Health Center | Counselor | 1921 N Market St, Monticello, IL 61856-8144 | 2006-08-25 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
Please comment or provide details below to improve the information on ERICA LYNNETTE 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.