KARMEN JACKSON
Counselor

Address: 520 Dudley St, Boston, MA 02119-2769

KARMEN JACKSON (NPI# 1073144085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073144085
Entity Type Individual
Full Name KARMEN JACKSON
Gender Female
Practice Address 520 Dudley St
Boston
MA 02119-2769
Practice Telephone 4692230602
Mailing Address 520 Dudley St
Boston
MA 02119-2769
Mailing Telephone 4692230602
Certification Date 2020-01-29
Enumeration Date 2020-01-29
Last Update Date 2020-01-29
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 520 DUDLEY ST
City BOSTON
State MA
Zip Code 02119-2769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679160261 Carlande Cobb Peer Specialist 520 Dudley St, Boston, MA 02119-2769 2020-12-29
1124633516 Herlen Carius Counselor 520 Dudley St, Roxbury, MA 02119-2769 2020-09-11
1679188312 Brienna Nicole Santaniello Counselor - School 520 Dudley St, Roxbury, MA 02119-2769 2020-09-10
1427662386 Rayel Smith Counselor - Mental Health 520 Dudley St, Roxbury, MA 02119-2769 2020-09-08
1841877362 Paulette E Gomes-Mendes Case Manager/Care Coordinator 520 Dudley St, Roxbury, MA 02119-2769 2021-03-29
1275148660 Teila Gray Case Manager/Care Coordinator 520 Dudley St, Roxbury, MA 02119-2769 2020-09-11
1053981100 Misgana Tsgaye Sirmollo Social Worker - Clinical 520 Dudley St, Roxbury, MA 02119-2769 2021-06-30
1568077121 Tatiana Peavy Counselor - Mental Health 520 Dudley St, Roxbury, MA 02119-2769 2020-09-10
1154905552 Breyanna Sylvia-Moals Counselor - Mental Health 520 Dudley St, Roxbury, MA 02119-2769 2021-05-11
1316515216 Shilleah Idora Glass · Shilleah Idora Flavius Case Manager/Care Coordinator 520 Dudley St, Boston, MA 02119-2769 2021-06-16
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1962021089 Taha Fathima Khan Student in an Organized Health Care Education/Training Program Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-04-09
1316288210 Lisa A Falvo Physical Therapist 70 Warren Street, Suite 8, Roxbury, MA 02119 2013-03-04
1578033155 Solana Feddlyn Wacleche Case Manager/Care Coordinator 75 Amory Street, Jamaica Plain, MA 02119 2018-11-27
1922484799 Dina Ghaly-Habib Student in an Organized Health Care Education/Training Program 100 East Newton St., G-706, Boston, MA 02119 2015-08-04
1619287554 Refugee and Immigrant Assistance Center Inc Psychologist - Clinical 253 Roxbury Street, Boston, MA 02119 2010-10-13
1083089676 Natasha Cruz Counselor - Addiction (Substance Use Disorder) 263 Eustis Street, Roxbury, MA 02119 2015-12-08
1154670248 Annette Kazibwe Nazziwa Social Worker - Clinical 30 Dimock St, Roxbury, MA 02119 2012-09-05
1962780700 Kenneth Aaron Reid Physical Therapy Assistant 59 Townsend Street, Boston, MA 02119 2011-07-27
1093091852 Galy Transportation LLC Non-emergency Medical Transport (VAN) 40 Cedric St., Roxbury, MA 02119 2011-10-25
1144556077 Jeff Rogers Counselor 1 Murray Ave, Roxbury, MA 02119 2009-10-28
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124695788 Modern Health Arizona P.l.l.c. Counselor 2 Battery Wharf, Boston, MA 02109-1099 2021-06-10
1992396477 Lisa R Lee Counselor Bay Cove Ucc, 85 E Newton Street, Boston, MA 02118 2021-01-28
1316536865 John Shakin Counselor 9 Lime St, Boston, MA 02108-1102 2021-01-11
1821690900 Jazmin Cole Counselor 110 Hamilton St Apt 3, Boston, MA 02125-2892 2020-11-12
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1598370629 Peaceful Healing Soul Counseling Center, LLC Counselor Online Therapy, Boston, MA 02127 2020-09-15
1578181871 Victor Stewart Counselor 37 Copeland St Apt 3, Boston, MA 02119-2288 2020-07-13
1831712165 Mona Hdeib Counselor 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 2020-05-21
1316587413 Laurence Phillip Casey Counselor 63 Woolson St Apt 1, Boston, MA 02126-2072 2020-01-07
1487295036 Alisa C. Ritchie Counselor 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 2019-10-04
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City BOSTON
Zip Code 02119

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Dataset Information

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.