Active NPIIndividual providerSole proprietor

Ashley S Jackson

Counselor, Addiction (Substance Use Disorder) in Cliffwood, New Jersey

NPI Number1417634841
Practice location
111 State Route 35, Cliffwood, NJ 07721-1512
Fax
732-566-1937
Last updated
June 29, 2023

Ashley Starr Jackson is a Counselor, Addiction (Substance Use Disorder) based in Cliffwood, NJ. Ashley Starr Jackson practices in Cliffwood, NJ. The NPI Number for Ashley Starr Jackson is 1417634841. The current practice location address for Ashley Starr Jackson is 111 State Route 35, Cliffwood, NJ 07721-1512 and can be reached out via phone at 732-812-5489 and via fax at 732-566-1937.

Provider Profile Details

NPI Number
1417634841
Provider Name
Ashley Starr Jackson
Provider Entity Type
Individual
Gender
Female
Address
111 State Route 35, Cliffwood, NJ 07721-1512
Phone Number
732-812-5489
Fax Number
732-566-1937
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Other Names
Ashley Starr Mitricka (Former Name)
Provider Enumeration Date
June 28, 2023
Last Update Date
June 29, 2023
Certification Date
June 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 State Route 35
Cliffwood, NJ 07721-1512
Zip
07721-1512
Phone Number
732-812-5489
Fax Number
732-566-1937
Cliffwood, NJ 07721Get directions →

Provider Business Mailing Address Details

Address
275 Laurence Pkwy # B
Laurence Harbor, NJ 08879-2766
City
Laurence Harbor
State
NJ
Zip
08879-2766
Phone Number
908-451-4120

License Information

Taxonomy (1)
Clinic/Center, Methadone Clinic · 261QM2800X
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Ashley S Jackson?

The NPI number of Ashley S Jackson is 1417634841. It was assigned on June 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Ashley S Jackson?

Ashley S Jackson is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Ashley S Jackson practice?

The practice location is 111 State Route 35, Cliffwood, NJ 07721-1512. The office can be reached at 732-812-5489 (phone) or 732-566-1937 (fax).

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 1417634841 directly on the NPPES registry website.

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