Latisha Jackson

Overview

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
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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense Number
Y101Y00000XCounselor

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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Location Information

Street Address 3073 SALT LAKE RD
City INDIANAPOLIS
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
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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
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Dr. Latisha Patel, A Professional Optometric Corp · Dr. Latisha Patel, O.d. & Associates 5030 Hamner Ave, Eastvale, CA 91752-1009Optometrist2018-07-08
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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