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MR. CHARLES MITCHELL JACKSON B.S., TSS
NPI 1427600378
Clinic/Center in Collingdale, PA

Active since July 11, 2019
320 MACDADE BLVD STE 205, COLLINGDALE, PA 19023(610) 522-4506 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Mitchell Jackson B.s., Tss NPPES

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

MR. CHARLES MITCHELL JACKSON B.S., TSS (NPI 1427600378) is an individual clinic/center provider in Collingdale, Pennsylvania and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1427600378
Entity TypeIndividualMale
Primary Taxonomy261Q00000X
Provider Legal NameMR. CHARLES MITCHELL JACKSONCredential: B.S., TSS
Location Address320 MACDADE BLVD STE 205Collingdale, PA 19023-1926
Mailing Address512 W 22nd St Apt 2Wilmington, DE 19802-4086 · (267) 628-9156
Phone(610) 522-4506
Sole ProprietorYes
Enumeration DateJuly 11, 2019
✔ NPI 1427600378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
320 MACDADE BLVD STE 205, Collingdale, PA 19023
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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.

AVIVA MENTAL HEALTH SERVICES INC
Community/Behavioral Health
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
MRS. SUSMARIA CHARLES MHS
Counselor (Mental Health)
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
DANIELLE L SIMONIN MED
Counselor (Mental Health)
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
AVIVA MENTAL HEALTH SERVICES INC
Case Management
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
MRS. RACHEL A EDMONSON-WATSON
Counselor (Mental Health)
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
ERICK HINES
Counselor (Addiction (Substance Use Disorder))
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
ELIZABETH ANN DIROUMALDO MACC
Counselor (Mental Health)
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506
KIMBERLY B KAPLAN
Counselor (Mental Health)
320 MACDADE BLVD STE 205
COLLINGDALE, PA 19023
Delaware County (610) 522-4506

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 Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1427600378. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Charles Jackson located?

Charles Jackson practices at 320 Macdade Blvd Ste 205, Collingdale, PA 19023. The listed phone number is (610) 522-4506.

What is Charles Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on July 11, 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.