ULYSSES JACKSON
NPI 1376962647
Counselor - Addiction (Substance Use Disorder) in Deer Park, NY

Q: What is Ulysses Jackson's NPI number?

The NPI number for Ulysses Jackson is 1376962647. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Ulysses Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Ulysses Jackson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since April 15, 2014

89 WASHINGTON AVE, DEER PARK, NY 11729(631) 767-9294(631) 767-9294 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ulysses Jackson NPPES

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

ULYSSES JACKSON (NPI 1376962647) is an individual addiction (substance use disorder) provider in Deer Park, New York, licensed in New York (24980) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1376962647

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameULYSSES JACKSON

Location Address89 WASHINGTON AVEDeer Park, NY 11729-6917

Mailing Address89 Washington AveDeer Park, NY 11729-6917 · (631) 767-9294 · Fax (631) 767-9294

Phone(631) 767-9294

Fax(631) 767-9294

Sole ProprietorYes

Enumeration DateApril 15, 2014

Last NPPES UpdateNovember 10, 2025

NPPES CertifiedNovember 10, 2025

✔ NPI 1376962647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NY · 24980

89 WASHINGTON AVE, Deer Park, NY 11729

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan.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.

DR ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC

Counselor (Mental Health)

89 WASHINGTON AVE
DEER PARK, NY 11729

Suffolk County (631) 767-9294

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 Ulysses Jackson's NPI number?

The NPI number for Ulysses Jackson is 1376962647. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Ulysses Jackson located?

Ulysses Jackson practices at 89 Washington Ave, Deer Park, NY 11729. The listed phone number is (631) 767-9294.

What is Ulysses Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Ulysses Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Ulysses 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 Ulysses Jackson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.