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JACKSON TOPAZ
NPI 1245993450
Peer Specialist in Coram, NY

Active since October 15, 2021
3600 ROUTE 112, CORAM, NY 11727(631) 920-8500 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Topaz NPPES

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

JACKSON TOPAZ (NPI 1245993450) is an individual peer specialist in Coram, New York and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1245993450
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACKSON TOPAZ
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address14202 20th Ave Fl 3Flushing, NY 11351-3000
Phone(631) 920-8500
Sole ProprietorYes
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1245993450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3600 ROUTE 112, Coram, NY 11727
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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.

RAQUEL FERNANDES
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ANNE KIRKHAM
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JENNIFER HATFIELD
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (630) 920-8500
TRAVIS J WINGATE
Day Training/Habilitation Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8520
JENNIFER WILLA SIEGFRIED
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
SHANNON TIERNEY
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8610
ROSE PRISCILLA SANCHEZ
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
NATHALY ESTRADA
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8515

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 Jackson Topaz's NPI number?

The NPI number for Jackson Topaz is 1245993450. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Jackson Topaz located?

Jackson Topaz practices at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 920-8500.

What is Jackson Topaz's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jackson Topaz was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.