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C MICHAELA JACKS LLC
NPI 1144718172
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pittsburgh, PA

Active since April 25, 2018
1789 S BRADDOCK AVE STE 350, PITTSBURGH, PA 15218(412) 213-8425 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2018, Apr 25, 2018 (2 updates tracked since 2018).

About C Michaela Jacks Llc NPPES

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

C MICHAELA JACKS LLC (NPI 1144718172) is a healthcare organization registered as a mental health (including community mental health center) in Pittsburgh, Pennsylvania and active in the NPI registry since April 2018. The organization lists Crystal M Jacks, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1144718172
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameC MICHAELA JACKS LLC
Location Address1789 S BRADDOCK AVE STE 350Pittsburgh, PA 15218-1871
Mailing Address1789 S Braddock Ave Ste 350Pittsburgh, PA 15218-1871 · (412) 213-8425
Phone(412) 213-8425
Organization SubpartNo
Authorized OfficialCrystal M JacksSole Member · (412) 213-8425
Enumeration DateApril 25, 2018
Last NPPES UpdateMay 1, 20182 updates tracked since enumeration
✔ NPI 1144718172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in PA · MF000999
1789 S BRADDOCK AVE STE 350, Pittsburgh, PA 15218
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Other Providers at the Same Location NPPES 8

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

JOHN KALISZ-TONSOR MS, LPC
Counselor (Professional)
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 206-9279
CRYSTAL MICHAELA JACKS LMFT
Marriage & Family Therapist
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 213-8425
MS. ASHLEY M EDWARDS LMFT
Marriage & Family Therapist
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 353-9662
THE INSTITUTE FOR RELATIONAL CHANGE
Marriage & Family Therapist
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 450-0518
CENTER FOR RELATIONAL CHANGE
Marriage & Family Therapist
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 450-0518
BEINING CHEN
Counselor (Mental Health)
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 450-0518
A. EDWARDS LMFT, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 353-9662
CAITLIN SENK MA, NCC
Counselor (Mental Health)
1789 S BRADDOCK AVE STE 350
PITTSBURGH, PA 15218
Allegheny County (412) 593-4451

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 C Michaela Jacks LLC's NPI number?

The NPI number for C Michaela Jacks LLC is 1144718172. It was assigned to this organization in the NPPES registry on April 25, 2018.

Where is C Michaela Jacks LLC located?

C Michaela Jacks LLC is located at 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218. The listed phone number is (412) 213-8425.

What is C Michaela Jacks LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for C Michaela Jacks LLC was last updated on May 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.