ADRIAKA Y JACKSON MS NPI 1295378941

NPI Information

NPI: 1295378941
Provider Name: ADRIAKA Y JACKSON, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5868 E 71ST ST STE E-630
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 835-3435
Get Directions

Adriaka Y Jackson, MS is a mental health counselor in Indianapolis, IN. Adriaka Y Jackson, MS NPI is 1295378941. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5868 E 71ST ST STE E-630
INDIANAPOLIS, IN
ZIP 46220-075
Phone: (317) 835-3435

The enumeration date for this NPI number is 10/25/2019 and was last updated on 4/26/2023.

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)	99092140A	INDIANA	No
2	101YM0800X	Counselor	Mental Health	39004508A	INDIANA	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	8973191013	OTHER	INDIANA	8973191013

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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