Julie Jackson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

131049 Issued in OH

Legal business name

JULIE JACKSON

Practice address

2206 Ridgeway Ave
Columbus, OH 43219-2609

Phone

(614) 620-2284

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Julie Ann Jackson, LICDCNPI 1730816729

Title

Program Coordinator

Phone

(614) 620-2284

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Jackson, LISW-S

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1730816729
  NPD (past) Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1285188078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 RIDGEWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192609",
            "telephone_number": "614-620-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 RIDGEWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192609",
            "telephone_number": "614-620-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "614-620-2284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "131049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Julian
• Juliana Evalina Julian, LPN
• Justin Anthony Julian, MD
• Justin Donald Julian, PHARMD
• Julie Herron LLC
• Julie P Rindler MD LLC
• Joseph Juma
• Joshua Juma
• Jump the Broom LLC
• Mark A Jump, D.O.

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.