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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

AVA JACKSON MHC-LP
NPI 1508786591
Counselor - Mental Health in Newburgh, NY

Active since July 20, 2026
3 PICCADILLY CT, NEWBURGH, NY 12550(718) 772-7623 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ava Jackson Mhc-lp NPPES

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

AVA JACKSON MHC-LP (NPI 1508786591) is an individual mental health provider in Newburgh, New York, licensed in New York (18-P134324-01) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1508786591
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAVA JACKSONCredential: MHC-LP
Location Address3 PICCADILLY CTNewburgh, NY 12550-2435
Mailing Address1441 Broadway Fl 5New York, NY 10018-1879 · (646) 389-0611
Phone(718) 772-7623
Sole ProprietorYes
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1508786591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 18-P134324-01
3 PICCADILLY CT, Newburgh, NY 12550
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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 Ava Jackson's NPI number?

The NPI number for Ava Jackson is 1508786591. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Ava Jackson located?

Ava Jackson practices at 3 Piccadilly Ct, Newburgh, NY 12550. The listed phone number is (718) 772-7623.

What is Ava 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 Ava Jackson was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.