BENJAMIN JACKSON
NPI 1255769287
Counselor - Mental Health in New York, NY

Active since October 30, 2013
330 W 28TH ST, 4J, NEW YORK, NY 10001(917) 514-7478 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Jackson NPPES

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

BENJAMIN JACKSON (NPI 1255769287) is an individual mental health provider in New York, New York, licensed in New York (0038997-1) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1255769287
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN JACKSON
Location Address330 W 28TH ST, 4JNew York, NY 10001-4722
Mailing Address330 W 28th St, 4jNew York, NY 10001-4722 · (917) 514-7478
Sole ProprietorYes
Enumeration DateOctober 30, 2013
NPI 1255769287 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 · 0038997-1
330 W 28TH ST, New York, NY 10001

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker
330 W 28TH ST, APT 18B
NEW YORK, NY 10001

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 Benjamin Jackson's NPI number?

The NPI number for Benjamin Jackson is 1255769287. It was assigned to this individual provider in the NPPES registry on October 30, 2013.

Where is Benjamin Jackson located?

Benjamin Jackson practices at 330 W 28th St 4J, New York, NY 10001. The listed phone number is (917) 514-7478.

What is Benjamin Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Benjamin Jackson accept?

Health plans from Providence Health Plan list Benjamin Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Jackson was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.