SELENA BROOKE JACKSON MA NPI 1538040175

NPI Information

  • NPI: 1538040175
  • Provider Name: SELENA BROOKE JACKSON, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6563 STATE ROAD 54
    NEW PORT RICHEY, FL
    ZIP 34653
  • Phone: (727) 380-9181

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NPI Details

Selena Brooke Jackson, MA is a mental health counselor in New Port Richey, FL. Selena Brooke Jackson, MA NPI is 1538040175. 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:

6563 STATE ROAD 54
NEW PORT RICHEY, FL
ZIP 34653-003
Phone: (727) 380-9181

The enumeration date for this NPI number is 9/10/2025 and was last updated on 9/10/2025.

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 HealthFLORIDAYes

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

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