Christina Jackson, MS

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1232 Issued in WV

Practice address

4420 Rosemar Ctr Ste 201C
Parkersburg, WV 26104-1255

Phone

(304) 220-0041

Fax

(304) 220-0112

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christina Parsons Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sane Space PLLCGroup PAC ID 1456710003, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sane Space PLLC

  dba Sane Space

  • Psychologist
  • Parkersburg, WV
  • NPI 1164118642

  Professional

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1083825897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ROSEMAR CTR STE 201C",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041255",
            "telephone_number": "304-220-0041",
            "fax_number": "304-220-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 ROSEMAR CTR STE 201C",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041255",
            "telephone_number": "304-220-0041",
            "fax_number": "304-220-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 7th St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261013803",
            "country_code": "US",
            "telephone_number": "304-485-1721 x205",
            "fax_number": "304-865-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTINA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2147",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "PARSONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Lynn Isaacs
• Amy J. Isaly, MPT
• Eileen Isner
• Jackson Healthcare Clinic LLC
• Chasady Lynn Jackson, PRSS
• Deanna Lynn Jackson, O.D
• Elisha F Jackson, LSW
• Felicity Dawn Jackson
• John J. Jackson
• Karen Jackson

• Counseling Psychologist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Counseling Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.