Active NPIIndividual providerSole proprietor

Whitley V Jackson, LMFT

Marriage & Family Therapist in New Rochelle, New York

NPI Number1346906450
Practice location
547 North Ave Ste 152, New Rochelle, NY 10801-2601
Fax
—
Last updated
November 12, 2021

Whitley V Jackson is a Marriage & Family Therapist based in New Rochelle, NY. Whitley V Jackson practices in New Rochelle, NY and has the professional credentials of LMFT. The NPI Number for Whitley V Jackson is 1346906450 and holds a License No. 001764 (NY). The current practice location address for Whitley V Jackson is 547 North Ave Ste 152, New Rochelle, NY 10801-2601 and can be reached out via phone at 646-543-9735.

Provider Profile Details

NPI Number
1346906450
Provider Name
Whitley V Jackson
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
547 North Ave Ste 152, New Rochelle, NY 10801-2601
Phone Number
646-543-9735
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 12, 2021
Last Update Date
November 12, 2021
Certification Date
November 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
547 North Ave Ste 152
New Rochelle, NY 10801-2601
Zip
10801-2601
Phone Number
646-543-9735
New Rochelle, NY 10801Get directions →

Provider Business Mailing Address Details

Address
547 North Ave Ste 152
New Rochelle, NY 10801-2601
City
New Rochelle
State
NY
Zip
10801-2601
Phone Number
646-543-9735

License Information

License Number
001764
License State
NY
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Whitley V Jackson, LMFT?

The NPI number of Whitley V Jackson, LMFT is 1346906450. It was assigned on November 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Whitley V Jackson, LMFT?

Whitley V Jackson, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in NY under license number 001764.

Where does Whitley V Jackson, LMFT practice?

The practice location is 547 North Ave Ste 152, New Rochelle, NY 10801-2601. The office can be reached at 646-543-9735 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346906450 directly on the NPPES registry website.

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