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ANTOINETTE JACKSON LPC NPI 1275187387


NPI Information

NPI: 1275187387
Provider Name: ANTOINETTE JACKSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5048 11TH ST NE
WASHINGTON, DC
ZIP 20017
Phone: (202) 570-5774
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Antoinette Jackson, LPC is a professional counselor in Washington, DC. Antoinette Jackson, LPC NPI is 1275187387. 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:

5048 11TH ST NE
WASHINGTON, DC
ZIP 20017-848
Phone: (202) 570-5774

The enumeration date for this NPI number is 7/26/2019 and was last updated on 11/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLGPC10802MARYLANDNo
2101YP2500XCounselorProfessionalLGPC00603DISTRICT OF COLUMBIANo
3101YP2500XCounselorProfessionalPRC200001270DISTRICT OF COLUMBIAYes

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: 11/14/2023

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.