Maryah V Jackson, LMP

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1001 S Main St # 8062
Kalispell, MT 59901-5635

Phone

(406) 696-3908

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

No

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.

• 7 Wellness & Massage Center

  • Massage Therapist
  • Billings, MT
  • NPI 1336536614
  NPD (past) Authorized official
• Art of Calm Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Billings, MT
  • NPI 1770235913
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2024.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1205107828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST # 8062",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015635",
            "telephone_number": "406-696-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST # 8062",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015635",
            "telephone_number": "406-696-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARYAH",
        "middle_name": "V",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "5952",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18071",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://7wellnessmassagecenter.com/contact/",
            "affiliation": "N",
            "address_1": "1629 Avenue D Ste C8",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591023042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Intermountain Deaconness Home for Children
• Lyn Marie Ireland
• Brianna Irion
• Anna Kate Iwersen, PA-C
• Lawrence John Iwersen, M.D.
• Robert C Jacobs
• Christianne D Jaffe, APRN
• Elizabeth Ryan Jaffe, MD
• Philip Jaffe, MD
• Scott Richard Jahnke, DO

• All providers in Kalispell, MT
• Health & Wellness Coach in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.