Arnise Jackson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78190 Issued in TX

Practice address

2915 S Burleson Blvd
Burleson, TX 76028-1878

Phone

(817) 447-3001

NPI assigned

May 1, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1063076495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 S BURLESON BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281878",
            "telephone_number": "817-447-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 S BURLESON BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281878",
            "telephone_number": "817-447-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W Randol Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760123113",
            "country_code": "US",
            "telephone_number": "817-447-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ARNISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78190",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ips Burleson
• J & J Home Health Agency
• J a Ford Assisting LLC
• Jack Jones Hearing Center, Inc.
• Amber Dawn Jackson, LVN
• Chandra Jackson
• Danielle Jackson
• Jared Jackson, DPT
• Mara Jackson
• Mohammad Ali Rasmi Jafar, PHARMD

• Professional Counselor in Burleson, TX
• Providers in Burleson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.