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MELODIE ISMA JACKSON
NPI 1295028645
Counselor in Philadelphia, PA

Active since May 18, 2011
1401 S 4TH ST, PHILADELPHIA, PA 19147(215) 339-1070(215) 339-1080 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melodie Isma Jackson NPPES

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

MELODIE ISMA JACKSON (NPI 1295028645) is an individual counselor in Philadelphia, Pennsylvania and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1295028645
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMELODIE ISMA JACKSON
Location Address1401 S 4TH STPhiladelphia, PA 19147-5948
Mailing Address432 N 6th StPhiladelphia, PA 19123-4004 · (215) 925-2400 · Fax (215) 925-9162
Phone(215) 339-1070
Fax(215) 339-1080
Sole ProprietorNo
Enumeration DateMay 18, 2011
✔ NPI 1295028645 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.

1401 S 4TH ST, Philadelphia, PA 19147
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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.

MARLYNN RAE HALL LPC
Counselor (Professional)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
JONAS EHUDIN
Social Worker (Clinical)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
THUAN TRAN M.D.
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
RAN LIU
Counselor (Professional)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
YUYAN CHEN
Counselor (Professional)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
MYNDI RAGAN
Counselor (Professional)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
KIMBERLY CAROLYN JOHNSON GILLIAM D.O.
Psychiatry & Neurology (Psychiatry)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070
CHONG YANG
Counselor (Professional)
1401 S 4TH ST
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-1070

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 Melodie Jackson's NPI number?

The NPI number for Melodie Jackson is 1295028645. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Melodie Jackson located?

Melodie Jackson practices at 1401 S 4th St, Philadelphia, PA 19147. The listed phone number is (215) 339-1070.

What is Melodie 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 Melodie Jackson was last updated on May 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.