Active NPIIndividual providerSole proprietor

Ava Jackson, MHC-LP

Counselor, Mental Health in Newburgh, New York

NPI Number1508786591
Practice location
3 Piccadilly CT, Newburgh, NY 12550-2435
Fax
—
Last updated
July 20, 2026

Ava Jackson is a Counselor, Mental Health based in Newburgh, NY. Ava Jackson practices in Newburgh, NY and has the professional credentials of MHC-LP. The NPI Number for Ava Jackson is 1508786591 and holds a License No. 18-P134324-01 (NY). The current practice location address for Ava Jackson is 3 Piccadilly CT, Newburgh, NY 12550-2435 and can be reached out via phone at 718-772-7623.

Provider Profile Details

NPI Number
1508786591
Provider Name
Ava Jackson
Credential
MHC-LP
Provider Entity Type
Individual
Gender
Female
Address
3 Piccadilly CT, Newburgh, NY 12550-2435
Phone Number
718-772-7623
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2026
Last Update Date
July 20, 2026
Certification Date
July 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Piccadilly CT
Newburgh, NY 12550-2435
Zip
12550-2435
Phone Number
718-772-7623
Newburgh, NY 12550Get directions →

Provider Business Mailing Address Details

Address
1441 Broadway Fl 5
New York, NY 10018-1879
City
New York
State
NY
Zip
10018-1879
Phone Number
646-389-0611

License Information

License Number
18-P134324-01
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Ava Jackson, MHC-LP?

The NPI number of Ava Jackson, MHC-LP is 1508786591. It was assigned on July 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Ava Jackson, MHC-LP?

Ava Jackson, MHC-LP is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 18-P134324-01.

Where does Ava Jackson, MHC-LP practice?

The practice location is 3 Piccadilly CT, Newburgh, NY 12550-2435. The office can be reached at 718-772-7623 (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 1508786591 directly on the NPPES registry website.

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