ERICA JACKSON NPI 1558916577

NPI Information

  • NPI: 1558916577
  • Provider Name: ERICA JACKSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 451 BAXTER AVE STE 201
    LOUISVILLE, KY
    ZIP 40204
  • Phone: (502) 383-2969

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NPI Details

Erica Jackson is a mental health counselor in Louisville, KY. Erica Jackson NPI is 1558916577. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

451 BAXTER AVE STE 201
LOUISVILLE, KY
ZIP 40204-177
Phone: (502) 383-2969

The enumeration date for this NPI number is 8/6/2019 and was last updated on 5/16/2025.

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
1171M00000XCase Manager/Care CoordinatorNo
2172A00000XDriverNo
3101YM0800XCounselorMental Health296888KENTUCKYYes

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: 3/30/2025

NPI Synchronization or Removal

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