Latisha Jackson


Latisha Jackson is a health care provider registered with Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES). The National Provider Identifier (NPI) is #1861977639. The practice address is 3073 Salt Lake Rd, Indianapolis, IN 46214-1432, US. Published on September 27, 2018. Last updated on September 27, 2018.

Provider Information

NPI 1861977639
Entity Type Individual
Gender Female
Mailing Address 3073 Salt Lake Rd
IN 46214-1432
Mailing Telephone 3172964187
Practice Address 3073 Salt Lake Rd
IN 46214-1432
Practice Telephone 3172964187
Enumeration Date 2018-09-27
Last Update Date 2018-09-27
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense Number

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Latisha Jackson 2500 Rike Dr, Pine Bluff, AR 71603-3937Professional Counselor2011-08-15
Latisha Jackson 125 E Cheves St, Florence, SC 29506-2526Mental Health Counselor2007-04-11

Taxonomy Information

Primary Taxonomy

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

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Taylor Tenaglia 62 Kingman Ave, Revere, MA 02151-2323Counselor2022-07-09
Mia Chikita Burgan 720 E Park Blvd Ste 204, Plano, TX 75074-8802Counselor2022-07-08
Shomari Oden 5201 Hayes St Ne Apt 327, Washington, DC 20019-5572Counselor2022-07-10
Scott C Kainovic 2400 N Ashland Ave, Chicago, IL 60614-0851Counselor2022-07-08
Restoration Treatment Center of Texas, LLC 4425 Plano Pkwy Ste 601, Carrollton, TX 75010-5030Counselor2022-07-08
Reina Elizabeth Arevalo 6410 Dobbin Rd Ste F, Columbia, MD 21045-4774Counselor2022-07-09
Klazina Crawford 2023 Stadium Dr Ste 2a, Bozeman, MT 59715-0613Counselor2022-07-08
Jason Gonzalez 110 Boston St, Salem, MA 01970-1402Counselor2022-07-10
Aderis Health Technologies 450 S Orange Ave, Orlando, FL 32801-3383Counselor2022-07-08
Malisa Funderburk 4330 S Lee St Ste 600, Buford, GA 30518-5795Counselor2022-07-08
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Location Information

Street Address 3073 SALT LAKE RD
State IN
Zip Code 46214-1432
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Babe Black 3073 Salt Lake Rd, Indianapolis, IN 46214-1432Clinical Social Worker2007-04-23
Kaysea Lewis 3073 Salt Lake Rd, Indianapolis, IN 46214-1432Social Worker2018-09-25
Mahogany Brown 3073 Salt Lake Rd, Indianapolis, IN 46214-1432Mental Health Counselor2021-08-05
Donald Rambo Connor Maclean-Kennedy 3073 Salt Lake Rd, Indianapolis, IN 46214-1432Counselor2019-07-29
Shawnece Teague 3073 Salt Lake Rd, Indianapolis, IN 46214-1432Mental Health Counselor2021-06-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Dental Health Professionals of Indiana, P.C. · Central Indiana Periodontics 8235 Country Village Dr, Indianapolis, IN 46214-3106Periodontist2022-04-07
Be There Home Care, LLC 7715 Cruyff Cir, Indianapolis, IN 46214-2347In Home Supportive Care Agency2021-06-03
Skylar Haywood 855 N High School Rd Ste 6, Indianapolis, IN 46214-5702Mental Health Counselor2022-05-04
Tlyasha Williams 3125 Dandy Trl Ste 220, Indianapolis, IN 46214-1460Clinical Laboratory Director (Non-physician)2022-07-08
Latoya Evans 2596 N Girls School Rd, Indianapolis, IN 46214-2105Psychiatric/Mental Health Nurse Practitioner2021-08-09
Dental Health Professionals of Indiana, P.C. 8235 Country Village Dr, Indianapolis, IN 46214-3106Periodontist2022-05-27
Carol Elaine Stogsdill · Carol Elaine Boggess 855 N High School Rd Ste 6, Indianapolis, IN 46214-5702Addiction (Substance Use Disorder) Counselor2022-02-21
Upperline Healthcare PC 7412 Rockville Rd, Indianapolis, IN 46214-3097Foot & Ankle Surgery Podiatrist2022-06-15
Jessica Miller-Combs 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069Social Worker2021-10-04
Magnificent Homecare LLC 2960 Rolling Dunes Dr, Indianapolis, IN 46214-4732Chore Provider2021-10-20
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Latisha Nicole Jackson 820 23rd St, Richmond, CA 94804-1338Addiction (Substance Use Disorder) Counselor2008-01-21
Latisha Lashon Jackson 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903Social Worker2019-02-26
June Latisha-Ann Ottley · June Latisha-Ann Gilpin 3601 Odonnell St, Baltimore, MD 21224-5238Nurse Practitioner2013-03-25
Latisha Sapara · Latisha Roberts 110 Lorraine Loop, Staten Island, NY 10309-1518Behavioral Analyst2015-12-23
Latisha Taylor Ellis · Latisha Ericka Taylor 106 Colony Park Drive, Suite 500, Lawrenceville, GA 30043Mental Health Counselor2014-07-08
Dr. Latisha Patel, A Professional Optometric Corp · Dr. Latisha Patel, O.d. & Associates 5030 Hamner Ave, Eastvale, CA 91752-1009Optometrist2018-07-08
Latisha Elizabeth Moreta · Latisha Elizabeth Ricketts 1428 Madison Ave, New York, NY 10029-6508Clinical Genetics (M.D.) Physician2016-04-06
Latisha Ranae Jackson 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292Behavior Technician2018-11-17
Anjali Latisha Trambadia · Anjali Latisha Gandhi 20 Francis Way, Suite 101, Sharpsburg, GA 30277-3589Physician Assistant2010-06-29
Latisha Shirose Washington · Latisha Shirose Green 6202 Dupree Ave, Ferguson, MO 63135-3219Administrator Registered Nurse2010-08-31

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Dataset Information

This dataset includes 5 million covered health care providers and all health plans and health care clearinghouses, registered with the National Plan and Provider Enumeration System (NPPES) developed by the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Sacramento County regulates businesses operating in the areas of the County not located within city limits (the unincorporated area of the County) to promote improved enforcement of ordinances that protect the public and prevent nuisances and neighborhood disturbances. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Federal