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ALEXANDREA J JACKSON LPC
NPI 1053922518
Counselor - Professional in Petersburg, VA

Active since August 10, 2020
350 POPLAR DR, PETERSBURG, VA 23805(804) 733-6874(804) 518-1341 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexandrea J Jackson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDREA J JACKSON LPC (NPI 1053922518) is an individual professional provider in Petersburg, Virginia, licensed in Virginia (0701009711) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1053922518
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALEXANDREA J JACKSONCredential: LPC
Location Address350 POPLAR DRPetersburg, VA 23805-9367
Mailing Address350 Poplar DrPetersburg, VA 23805-9367 · (804) 733-6874 · Fax (804) 518-1341
Phone(804) 733-6874
Fax(804) 518-1341
Sole ProprietorNo
Enumeration DateAugust 10, 2020
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1053922518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701009711
350 POPLAR DR, Petersburg, VA 23805
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAYLA LYNN FARNHAM CTRS
Recreation Therapist
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
STEPHEN L MURPHY LCSW
Social Worker (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
JOHN SALAY
Social Worker (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
EBONY GLYNN WALKER LPC
Counselor (Professional)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
HHC POPLAR SPRINGS LLC.
Psychiatric Hospital
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
JERI COX
Counselor (Professional)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
MARK MURPHY
Social Worker (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
JENNIFER LYNN SUTHERLAND PHD
Psychologist (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandrea Jackson's NPI number?

The NPI number for Alexandrea Jackson is 1053922518. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Alexandrea Jackson located?

Alexandrea Jackson practices at 350 Poplar Dr, Petersburg, VA 23805. The listed phone number is (804) 733-6874.

What is Alexandrea Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Alexandrea Jackson was last updated on August 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.