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KELLIE JACKSON
NPI 1447911565
Counselor - Mental Health in Audubon, PA

Active since January 02, 2022
837 MOURNING DOVE RD, AUDUBON, PA 19403(610) 716-6412 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Jackson NPPES

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

KELLIE JACKSON (NPI 1447911565) is an individual mental health provider in Audubon, Pennsylvania and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1447911565
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE JACKSON
Location Address837 MOURNING DOVE RDAudubon, PA 19403-1820
Mailing Address846 W Lancaster AveBryn Mawr, PA 19010-3224
Phone(610) 716-6412
Sole ProprietorNo
Enumeration DateJanuary 2, 2022
NPPES CertifiedJanuary 2, 2022
✔ NPI 1447911565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
837 MOURNING DOVE RD, Audubon, PA 19403
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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 Kellie Jackson's NPI number?

The NPI number for Kellie Jackson is 1447911565. It was assigned to this individual provider in the NPPES registry on January 2, 2022.

Where is Kellie Jackson located?

Kellie Jackson practices at 837 Mourning Dove Rd, Audubon, PA 19403. The listed phone number is (610) 716-6412.

What is Kellie Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Jackson was last updated on January 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.