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TIFFANY NICOLE JACKSON LMHC
NPI 1245892694
Counselor - Mental Health in Chittenango, NY

Active since July 06, 2019
6292 DYKE RD, CHITTENANGO, NY 13037(315) 418-6198 Get Directions Write a Review

NPPES record last updated: July 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Nicole Jackson Lmhc NPPES

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

TIFFANY NICOLE JACKSON LMHC (NPI 1245892694) is an individual mental health provider in Chittenango, New York, licensed in New York (005758) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1245892694
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY NICOLE JACKSONCredential: LMHC
Location Address6292 DYKE RDChittenango, NY 13037-9404
Mailing Address6292 Dyke RdChittenango, NY 13037-9404 · (315) 418-6198
Phone(315) 418-6198
Sole ProprietorYes
Enumeration DateJuly 6, 2019
✔ NPI 1245892694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 005758
6292 DYKE RD, Chittenango, NY 13037
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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 Tiffany Jackson's NPI number?

The NPI number for Tiffany Jackson is 1245892694. It was assigned to this individual provider in the NPPES registry on July 6, 2019.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 6292 Dyke Rd, Chittenango, NY 13037. The listed phone number is (315) 418-6198.

What is Tiffany 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 Tiffany Jackson was last updated on July 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.