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MIRACLE JACKSON LMSW
NPI 1184413288
Counselor - Mental Health in Washington, PA

Active since May 05, 2025
378 W CHESTNUT ST STE 205, WASHINGTON, PA 15301(724) 225-6940(724) 225-6811 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miracle Jackson Lmsw NPPES

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

MIRACLE JACKSON LMSW (NPI 1184413288) is an individual mental health provider in Washington, Pennsylvania and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1184413288
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRACLE JACKSONCredential: LMSW
Location Address378 W CHESTNUT ST STE 205Washington, PA 15301-4661
Mailing Address378 W Chestnut St Ste 205Washington, PA 15301-4661 · (724) 225-6940 · Fax (724) 225-6811
Phone(724) 225-6940
Fax(724) 225-6811
Sole ProprietorYes
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1184413288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
378 W CHESTNUT ST STE 205, Washington, PA 15301
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Other Providers at the Same Location NPPES 11

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

KEVIN RYAN NIPAR PHARMD
Pharmacist
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 705-0012
MR. MATTHEW DAVID GRIMM MA, MS, NCC, LAPC
Counselor (Mental Health)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 255-6940
MS. DIANA D MCLAUGHLIN LPC
Counselor (Professional)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 225-6940
ANDREW SHROYER
Counselor (Mental Health)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 225-6940
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 705-0012
SIERRA KRISTINE ROBERTS LPC
Counselor (Mental Health)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 225-6940
DR. VINCENT V WOOD DNP
Nurse Practitioner (Psychiatric/Mental Health)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 225-6940
NATALIE PETROSKY
Counselor (Mental Health)
378 W CHESTNUT ST STE 205
WASHINGTON, PA 15301
Washington County (724) 225-6940

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 Miracle Jackson's NPI number?

The NPI number for Miracle Jackson is 1184413288. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Miracle Jackson located?

Miracle Jackson practices at 378 W Chestnut St Ste 205, Washington, PA 15301. The listed phone number is (724) 225-6940.

What is Miracle 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 Miracle Jackson was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.