Tameka Jackson, B.S IN PSYCHOLOGY

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

370 9TH St
Crescent City, CA 95531-3432

Phone

(916) 696-4729

NPI assigned

Aug 28, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Remi Vista, Inc.

  • Case Management Agency
  • Crescent City, CA
  • NPI 1578516175
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1770950404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BURTSCHELL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312415",
            "telephone_number": "916-696-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313432",
            "telephone_number": "916-696-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TAMEKA",
        "credential": "B.S IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lee Hunt, LCSW
• Vincent Lee Huntley, APRN
• Amelia Hutchings, RDH
• Insat Telemed Corporation a Professional Corporation
• Katrina Larie Jackson
• Aimee Jacot, RN
• Dustin A Jacot, PA
• James a Morrow DO a Medical
• James C Standring
• Jana Jaderborg, MD, Inc

• All providers in Crescent City, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.