KIMBERLY JACKSON LPCMH NPI 1588278600

NPI Information

  • NPI: 1588278600
  • Provider Name: KIMBERLY JACKSON, LPCMH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2703 N HARRISON ST
    WILMINGTON, DE
    ZIP 19802
  • Phone: (302) 507-7688

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NPI Details

Kimberly Jackson, LPCMH is a mental health counselor in Wilmington, DE. Kimberly Jackson, LPCMH NPI is 1588278600. 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:

2703 N HARRISON ST
WILMINGTON, DE
ZIP 19802-924
Phone: (302) 507-7688

The NPI 1588278600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/4/2020 and was last updated on 10/13/2025.

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 HealthPC-0011487DELAWAREYes

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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