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.
| NPI | 1861977639 |
| Entity Type | Individual |
| Provider Name | LATISHA JACKSON |
| Gender | Female |
| Mailing Address | 3073 Salt Lake Rd Indianapolis IN 46214-1432 US |
| Mailing Telephone | 3172964187 |
| Practice Address | 3073 Salt Lake Rd Indianapolis IN 46214-1432 US |
| Practice Telephone | 3172964187 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Latisha Jackson | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | Professional Counselor | 2011-08-15 |
| Latisha Jackson | 125 E Cheves St, Florence, SC 29506-2526 | Mental Health Counselor | 2007-04-11 |
| 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 02151-2323 | Counselor | 2022-07-09 |
| Mia Chikita Burgan | 720 E Park Blvd Ste 204, Plano, TX 75074-8802 | Counselor | 2022-07-08 |
| Shomari Oden | 5201 Hayes St Ne Apt 327, Washington, DC 20019-5572 | Counselor | 2022-07-10 |
| Scott C Kainovic | 2400 N Ashland Ave, Chicago, IL 60614-0851 | Counselor | 2022-07-08 |
| Restoration Treatment Center of Texas, LLC | 4425 Plano Pkwy Ste 601, Carrollton, TX 75010-5030 | Counselor | 2022-07-08 |
| Reina Elizabeth Arevalo | 6410 Dobbin Rd Ste F, Columbia, MD 21045-4774 | Counselor | 2022-07-09 |
| Klazina Crawford | 2023 Stadium Dr Ste 2a, Bozeman, MT 59715-0613 | Counselor | 2022-07-08 |
| Jason Gonzalez | 110 Boston St, Salem, MA 01970-1402 | Counselor | 2022-07-10 |
| Aderis Health Technologies | 450 S Orange Ave, Orlando, FL 32801-3383 | Counselor | 2022-07-08 |
| Malisa Funderburk | 4330 S Lee St Ste 600, Buford, GA 30518-5795 | Counselor | 2022-07-08 |
| Find all providers with the same taxonomy | |||
| Street Address | 3073 SALT LAKE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-1432 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Babe Black | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | Clinical Social Worker | 2007-04-23 |
| Kaysea Lewis | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | Social Worker | 2018-09-25 |
| Mahogany Brown | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | Mental Health Counselor | 2021-08-05 |
| Donald Rambo Connor Maclean-Kennedy | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | Counselor | 2019-07-29 |
| Shawnece Teague | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | Mental Health Counselor | 2021-06-02 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dental Health Professionals of Indiana, P.C. · Central Indiana Periodontics | 8235 Country Village Dr, Indianapolis, IN 46214-3106 | Periodontist | 2022-04-07 |
| Be There Home Care, LLC | 7715 Cruyff Cir, Indianapolis, IN 46214-2347 | In Home Supportive Care Agency | 2021-06-03 |
| Skylar Haywood | 855 N High School Rd Ste 6, Indianapolis, IN 46214-5702 | Mental Health Counselor | 2022-05-04 |
| Tlyasha Williams | 3125 Dandy Trl Ste 220, Indianapolis, IN 46214-1460 | Clinical Laboratory Director (Non-physician) | 2022-07-08 |
| Latoya Evans | 2596 N Girls School Rd, Indianapolis, IN 46214-2105 | Psychiatric/Mental Health Nurse Practitioner | 2021-08-09 |
| Dental Health Professionals of Indiana, P.C. | 8235 Country Village Dr, Indianapolis, IN 46214-3106 | Periodontist | 2022-05-27 |
| Carol Elaine Stogsdill · Carol Elaine Boggess | 855 N High School Rd Ste 6, Indianapolis, IN 46214-5702 | Addiction (Substance Use Disorder) Counselor | 2022-02-21 |
| Upperline Healthcare PC | 7412 Rockville Rd, Indianapolis, IN 46214-3097 | Foot & Ankle Surgery Podiatrist | 2022-06-15 |
| Jessica Miller-Combs | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | Social Worker | 2021-10-04 |
| Magnificent Homecare LLC | 2960 Rolling Dunes Dr, Indianapolis, IN 46214-4732 | Chore Provider | 2021-10-20 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Latisha Nicole Jackson | 820 23rd St, Richmond, CA 94804-1338 | Addiction (Substance Use Disorder) Counselor | 2008-01-21 |
| Latisha Lashon Jackson | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | Social Worker | 2019-02-26 |
| June Latisha-Ann Ottley · June Latisha-Ann Gilpin | 3601 Odonnell St, Baltimore, MD 21224-5238 | Nurse Practitioner | 2013-03-25 |
| Latisha Sapara · Latisha Roberts | 110 Lorraine Loop, Staten Island, NY 10309-1518 | Behavioral Analyst | 2015-12-23 |
| Latisha Taylor Ellis · Latisha Ericka Taylor | 106 Colony Park Drive, Suite 500, Lawrenceville, GA 30043 | Mental Health Counselor | 2014-07-08 |
| Dr. Latisha Patel, A Professional Optometric Corp · Dr. Latisha Patel, O.d. & Associates | 5030 Hamner Ave, Eastvale, CA 91752-1009 | Optometrist | 2018-07-08 |
| Latisha Elizabeth Moreta · Latisha Elizabeth Ricketts | 1428 Madison Ave, New York, NY 10029-6508 | Clinical Genetics (M.D.) Physician | 2016-04-06 |
| Latisha Ranae Jackson | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | Behavior Technician | 2018-11-17 |
| Anjali Latisha Trambadia · Anjali Latisha Gandhi | 20 Francis Way, Suite 101, Sharpsburg, GA 30277-3589 | Physician Assistant | 2010-06-29 |
| Latisha Shirose Washington · Latisha Shirose Green | 6202 Dupree Ave, Ferguson, MO 63135-3219 | Administrator Registered Nurse | 2010-08-31 |
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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 |