JUSTIN JACKSON LPC NPI 1235788902

NPI Information

  • NPI: 1235788902
  • Provider Name: JUSTIN JACKSON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4212 PARK PLACE CT
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 332-5950

Map and Directions

Get Directions

NPI Details

Justin Jackson, LPC is a professional counselor in Glen Allen, VA with 13 years of experience. Justin Jackson, LPC NPI is 1235788902. 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:

4212 PARK PLACE CT
GLEN ALLEN, VA
ZIP 23060-314
Phone: (804) 332-5950
Fax: (804) 728-1086

The NPI 1235788902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/5/2019 and was last updated on 8/20/2021.

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
1101Y00000XCounselor0701008565VIRGINIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)0701008565VIRGINIANo
3101YM0800XCounselorMental Health0701008565VIRGINIANo
4101YP2500XCounselorProfessional0701008565VIRGINIAYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI