ELAINE JACKSON LCPC NPI 1700338142

NPI Information

  • NPI: 1700338142
  • Provider Name: ELAINE JACKSON, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 325 CHERRY ST
    PHILADELPHIA, PA
    ZIP 19106
  • Phone: (202) 780-5333

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NPI Details

Elaine Jackson, LCPC is a mental health counselor in Philadelphia, PA. Elaine Jackson, LCPC NPI is 1700338142. 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:

325 CHERRY ST
PHILADELPHIA, PA
ZIP 19106-061
Phone: (202) 780-5333

The enumeration date for this NPI number is 11/2/2016 and was last updated on 4/10/2023.

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
1101YM0800XCounselorMental HealthLGPC00898DISTRICT OF COLUMBIANo
2101YM0800XCounselorMental Health0701010327VIRGINIANo
3101YM0800XCounselorMental HealthLGP7431MARYLANDNo
4101YM0800XCounselorMental HealthLC9062MARYLANDYes

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

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