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CHRISTOPHER JACKSON LMHC
NPI 1093231284
Counselor in Forest Hills, NY

Active since August 18, 2017
104-70 QUEENS BLVD, FOREST HILLS, NY 11375(718) 275-6010 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jan 13, 2020, Aug 18, 2017 (3 updates tracked since 2017).

About Christopher Jackson Lmhc NPPES

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

CHRISTOPHER JACKSON LMHC (NPI 1093231284) is an individual counselor in Forest Hills, New York, licensed in New York (008069) and active in the NPI registry since August 2017. He maintains a secondary practice location in Patchogue.

NPPES Registry Identity

NPI1093231284
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCHRISTOPHER JACKSONCredential: LMHC
Location Address104-70 QUEENS BLVDForest Hills, NY 11375
Mailing Address475 E Main StPatchogue, NY 11772-3121 · (516) 363-2001
Phone(718) 275-6010
Sole ProprietorYes
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2020
✔ NPI 1093231284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NY · 008069
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
104-70 QUEENS BLVD, Forest Hills, NY 11375
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Secondary Practice Location 1

Location 1475 E Main StPatchogue, NY 11772-3121 · Phone (516) 363-2001 ext. 1427

Other Providers at the Same Location NPPES 3

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

CDA MEDICAL
Preventive Medicine (Public Health & General Preventive Medicine)
104-70 QUEENS BLVD, STE 314
QUEENS, NY 11375
Queens County (877) 358-8648
TATYANA SOLIS
Counselor (Mental Health)
104-70 QUEENS BLVD, FIOOR 2
FOREST HILLS, NY 11375
Queens County (718) 275-6010
MS. ADELE ROCYTE GRANT MSW
Social Worker
104-70 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 275-6010

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 Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1093231284. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Christopher Jackson located?

Christopher Jackson practices at 104-70 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 275-6010.

What is Christopher Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Christopher Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.