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ROSHON DAVON JACKSON
NPI 1205778479
Counselor in Philadelphia, PA

Active since April 07, 2026
1420 WALNUT ST, PHILADELPHIA, PA 19102(215) 529-1109 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roshon Davon Jackson NPPES

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

ROSHON DAVON JACKSON (NPI 1205778479) is an individual counselor in Philadelphia, Pennsylvania and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1205778479
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameROSHON DAVON JACKSON
Location Address1420 WALNUT STPhiladelphia, PA 19102-4017
Mailing Address7700b Stenton AvePhiladelphia, PA 19118-3161
Phone(215) 529-1109
Sole ProprietorYes
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1205778479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
1420 WALNUT ST, Philadelphia, PA 19102
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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.

DR. HARRY JOSEPH APONTE MSW
Social Worker (Clinical)
1420 WALNUT ST, SUITE 920
PHILADELPHIA, PA 19102
Philadelphia County (215) 640-0773
MEREDITH R MUNRO LMFT
Marriage & Family Therapist
1420 WALNUT ST, SUITE 1010
PHILADELPHIA, PA 19102
Philadelphia County (267) 702-0096
HARRY J. APONTE ASSOCIATES LIMITED
Social Worker (Clinical)
1420 WALNUT ST, 920
PHILADELPHIA, PA 19102
Philadelphia County (215) 640-0773
MICHELLE HILTON
Counselor (Professional)
1420 WALNUT ST, SUITE 500
PHILADELPHIA, PA 19102
Philadelphia County (610) 644-6464
LAKIESHA M REEL MS
Counselor (Addiction (Substance Use Disorder))
1420 WALNUT ST, SUITE 500
PHILADELPHIA, PA 19102
Philadelphia County (610) 644-6464
MR. RUSSELL J PUCHE LCSW
Social Worker (Clinical)
1420 WALNUT ST, SUITE 500
PHILADELPHIA, PA 19102
Philadelphia County (215) 546-2200
DR. ANNA HIATT NICHOLAIDES PSY.D.
Psychologist (Clinical)
1420 WALNUT ST, SUITE 1010
PHILADELPHIA, PA 19102
Philadelphia County (267) 702-6623
PHILADELPHIA ORTHODONTICS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
1420 WALNUT ST, SUITE 518
PHILADELPHIA, PA 19102
Philadelphia County (215) 567-5949

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 Roshon Jackson's NPI number?

The NPI number for Roshon Jackson is 1205778479. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Roshon Jackson located?

Roshon Jackson practices at 1420 Walnut St, Philadelphia, PA 19102. The listed phone number is (215) 529-1109.

What is Roshon 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 Roshon Jackson was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.