BENJAMIN JACKSON NPI 1255769287

NPI Information

  • NPI: 1255769287
  • Provider Name: BENJAMIN JACKSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 330 W 28TH ST
    4J
    NEW YORK, NY
    ZIP 10001
  • Phone: (917) 514-7478

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NPI Details

Benjamin Jackson is a mental health counselor in New York, NY. Benjamin Jackson NPI is 1255769287. 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:

330 W 28TH ST
4J
NEW YORK, NY
ZIP 10001-722
Phone: (917) 514-7478

The enumeration date for this NPI number is 10/30/2013 and was last updated on 10/30/2013.

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
1101YM0800XCounselorMental Health0038997-1NEW YORKYes

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

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