MR. JOHN JAMES JACKSON LMSW
NPI 1114363389
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since May 15, 2013
248 W 108TH ST, NEW YORK, NY 10025(212) 663-3000(212) 663-3179 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John James Jackson Lmsw NPPES

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

MR. JOHN JAMES JACKSON LMSW (NPI 1114363389) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (7509484) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1114363389
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JOHN JAMES JACKSONCredential: LMSW
Location Address248 W 108TH STNew York, NY 10025-2956
Mailing Address248 W 108th StNew York, NY 10025-2956 · (212) 663-3000 · Fax (212) 663-3179
Fax(212) 663-3179
Sole ProprietorNo
Enumeration DateMay 15, 2013
NPI 1114363389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 7509484
248 W 108TH ST, New York, NY 10025

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.

Student in an Organized Health Care Education/Training Program
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025
Registered Nurse
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025
Nurse Practitioner
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025

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 John Jackson's NPI number?

The NPI number for John Jackson is 1114363389. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is John Jackson located?

John Jackson practices at 248 W 108th St, New York, NY 10025. The listed phone number is (212) 663-3000.

What is John Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Jackson was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.