CHANTE MONIQUE JACKSON LPC
NPI 1073382669
Counselor - Professional in Berwyn, PA

Active since December 25, 2023
1031 OLD CASSATT RD STE 100, BERWYN, PA 19312(215) 785-6835 Get Directions Write a Review

NPPES record last updated: December 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chante Monique Jackson Lpc NPPES

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

CHANTE MONIQUE JACKSON LPC (NPI 1073382669) is an individual professional provider in Berwyn, Pennsylvania, licensed in Pennsylvania (PC016536) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073382669
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHANTE MONIQUE JACKSONCredential: LPC
Location Address1031 OLD CASSATT RD STE 100Berwyn, PA 19312-1152
Mailing Address327 Dickinson St Apt 2fPhiladelphia, PA 19147-6500 · (804) 627-1519
Sole ProprietorYes
Enumeration DateDecember 25, 2023
NPPES CertifiedDecember 25, 2023
NPI 1073382669 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 PA · PC016536
1031 OLD CASSATT RD STE 100, Berwyn, PA 19312

Other Providers at the Same Location NPPES 5

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

Social Worker
1031 OLD CASSATT RD STE 100
BERWYN, PA 19312
Counselor (Professional)
1031 OLD CASSATT RD STE 100
BERWYN, PA 19312
Nurse Practitioner
1031 OLD CASSATT RD STE 100
BERWYN, PA 19312
Social Worker (Clinical)
1031 OLD CASSATT RD STE 100
BERWYN, PA 19312
Counselor (Professional)
1031 OLD CASSATT RD STE 100
BERWYN, PA 19312

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 Chante Jackson's NPI number?

The NPI number for Chante Jackson is 1073382669. It was assigned to this individual provider in the NPPES registry on December 25, 2023.

Where is Chante Jackson located?

Chante Jackson practices at 1031 Old Cassatt Rd Ste 100, Berwyn, PA 19312. The listed phone number is (215) 785-6835.

What is Chante 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 Chante Jackson was last updated on December 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.