MS. JAMILLAH A. JACKSON MS/EDS NCC LPC NPI 1235463308

NPI Information

NPI: 1235463308
Provider Name: MS. JAMILLAH A. JACKSON, MS/EDS, NCC, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4600 EMPEROR BLVD
DURHAM, NC
ZIP 27703
Phone: (919) 651-8558
Get Directions

MS. Jamillah A. Jackson, MS/EDS, NCC, LPC is a professional counselor in Durham, NC. MS. Jamillah A. Jackson, MS/EDS, NCC, LPC NPI is 1235463308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4600 EMPEROR BLVD
DURHAM, NC
ZIP 27703-577
Phone: (919) 651-8558

The enumeration date for this NPI number is 9/23/2009 and was last updated on 5/16/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101Y00000X	Counselor		8340	NORTH CAROLINA	No
3	101YM0800X	Counselor	Mental Health	8340	NORTH CAROLINA	No
4	101YP2500X	Counselor	Professional	8340	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8340	OTHER	NORTH CAROLINA	THE NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
2	246803	OTHER		NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC.

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

NPI Synchronization or Removal

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