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SAMIA JACKSON B.S.
NPI 1366007098
Counselor in Jacksonville, FL

Active since May 08, 2019
1225 W BEAVER ST STE 205, JACKSONVILLE, FL 32204(904) 712-3540(904) 775-3570 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samia Jackson B.s. NPPES

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

SAMIA JACKSON B.S. (NPI 1366007098) is an individual counselor in Jacksonville, Florida and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1366007098
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMIA JACKSONCredential: B.S.
Location Address1225 W BEAVER ST STE 205Jacksonville, FL 32204-1416
Mailing Address1225 W Beaver St Ste 205Jacksonville, FL 32204-1416 · (904) 712-3540 · Fax (904) 775-3570
Phone(904) 712-3540
Fax(904) 775-3570
Sole ProprietorNo
Enumeration DateMay 8, 2019
✔ NPI 1366007098 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.
1225 W BEAVER ST STE 205, Jacksonville, FL 32204
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Other Providers at the Same Location NPPES 9

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

JORDAN THOMPSON B.A.
Counselor
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-3540
ERIKA WYNN M.S.
Counselor (Mental Health)
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-3540
MARCIA KING HOWELL LCSW
Social Worker (Clinical)
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 414-2106
SKYLAR TANICE BROWN
Counselor (Mental Health)
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-9221
JAMARA STEPHENS
Counselor (Mental Health)
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-3540
ANTWAN NICHOLAS
Counselor (Mental Health)
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-3540
REBECCA GAUNTLETT LMHC
Counselor (Mental Health)
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-3540
DAKOTA ANNE MACKENZIE UPP
Counselor
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204
Duval County (904) 712-3540

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 Samia Jackson's NPI number?

The NPI number for Samia Jackson is 1366007098. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Samia Jackson located?

Samia Jackson practices at 1225 W Beaver St Ste 205, Jacksonville, FL 32204. The listed phone number is (904) 712-3540.

What is Samia 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 Samia Jackson was last updated on May 8, 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.