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VANESSA JACKSON M.S.
NPI 1063812451
Counselor - Mental Health in Phila, PA

Active since September 04, 2014
4800 PINE ST APT A102, PHILA, PA 19143(267) 819-9706 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vanessa Jackson M.s. NPPES

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

VANESSA JACKSON M.S. (NPI 1063812451) is an individual mental health provider in Phila, Pennsylvania, licensed in Pennsylvania (BH001472) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1063812451
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVANESSA JACKSONCredential: M.S.
Location Address4800 PINE ST APT A102Phila, PA 19143-1749
Mailing Address4800 Pine St Apt A102Phila, PA 19143-1749 · (267) 819-9706
Phone(267) 819-9706
Sole ProprietorYes
Enumeration DateSeptember 4, 2014
✔ NPI 1063812451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · BH001472
4800 PINE ST APT A102, Phila, PA 19143
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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 Vanessa Jackson's NPI number?

The NPI number for Vanessa Jackson is 1063812451. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Vanessa Jackson located?

Vanessa Jackson practices at 4800 Pine St Apt A102, Phila, PA 19143. The listed phone number is (267) 819-9706.

What is Vanessa Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Vanessa Jackson was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.