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TIFFANY JACKSON
NPI 1235896937
Counselor - Professional in Milwaukee, WI

Active since November 17, 2021
8629 W DOUGLAS AVE, MILWAUKEE, WI 53225(414) 377-3875 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2026, Nov 17, 2021 (2 updates tracked since 2021).

About Tiffany Jackson NPPES

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

TIFFANY JACKSON (NPI 1235896937) is an individual professional provider in Milwaukee, Wisconsin and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1235896937
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY JACKSON
Location Address8629 W DOUGLAS AVEMilwaukee, WI 53225-1919
Mailing Address8629 W Douglas AveMilwaukee, WI 53225-1919 · (414) 377-3875
Phone(414) 377-3875
Sole ProprietorYes
Enumeration DateNovember 17, 2021
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1235896937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
8629 W DOUGLAS AVE, Milwaukee, WI 53225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Reviews for TIFFANY JACKSON

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Frequently Asked Questions

What is Tiffany Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1235896937, enumerated as an "individual" on November 17, 2021.

Where is the provider located?

The provider is located at 8629 W DOUGLAS AVE MILWAUKEE, WI 53225 and the phone number is (414) 377-3875.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Tiffany Jackson accept?

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.