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JASON ALLEN JACKSON CPSW NPI 1134782337


NPI Information

NPI: 1134782337
Provider Name: JASON ALLEN JACKSON, CPSW
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
912 1ST ST NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 224-9777
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Jason Allen Jackson, CPSW is a peer specialist in Albuquerque, NM. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jason Allen Jackson, CPSW NPI is 1134782337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

912 1ST ST NW
ALBUQUERQUE, NM
ZIP 87102-355
Phone: (505) 224-9777
Fax: (505) 224-9779

The enumeration date for this NPI number is 4/15/2019 and was last updated on 4/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer Specialist816NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.