CRYSTAL R JACKSON HEALTHY LIFESTYLE LLC
NPI 1518711829
Counselor - Professional in Jenkintown, PA

Active since April 15, 2024
610 YORK RD STE 400, JENKINTOWN, PA 19046(484) 561-1280 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, Jul 9, 2024, Apr 15, 2024 (3 updates tracked since 2024).

About Crystal R Jackson Healthy Lifestyle Llc NPPES

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

CRYSTAL R JACKSON HEALTHY LIFESTYLE LLC (NPI 1518711829) is a healthcare organization registered as a professional in Jenkintown, Pennsylvania and active in the NPI registry since April 2024. The organization lists Crystal Rena Jackson, Professional Mental Health Counseor, as its authorized official.

NPPES Registry Identity

NPI1518711829
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCRYSTAL R JACKSON HEALTHY LIFESTYLE LLC
Location Address610 YORK RD STE 400Jenkintown, PA 19046-2866
Mailing Address610 York Rd Ste 400Jenkintown, PA 19046-2866 · (484) 561-1280
Organization SubpartNo
Authorized OfficialCrystal Rena JacksonProfessional Mental Health Counseor · (215) 601-7379
Enumeration DateApril 15, 2024
Last NPPES UpdateApril 29, 20253 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
NPI 1518711829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
610 YORK RD STE 400, Jenkintown, PA 19046

Other Names 1

Former Legal Business NameCrystal R Jackson Healthy Lifestyle Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

In Home Supportive Care
610 YORK RD STE 400
JENKINTOWN, PA 19046
In Home Supportive Care
610 YORK RD STE 400
JENKINTOWN, PA 19046
In Home Supportive Care
610 YORK RD STE 400
JENKINTOWN, PA 19046
Non-emergency Medical Transport (VAN)
610 YORK RD STE 400
JENKINTOWN, PA 19046
Physical Medicine & Rehabilitation
610 YORK RD STE 400
JENKINTOWN, PA 19046
Home Health
610 YORK RD STE 400
JENKINTOWN, PA 19046
Rehabilitation, Substance Use Disorder Unit
610 YORK RD STE 400
JENKINTOWN, PA 19046
Counselor (Mental Health)
610 YORK RD STE 400
JENKINTOWN, PA 19046

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 Crystal R Jackson Healthy Lifestyle LLC's NPI number?

The NPI number for Crystal R Jackson Healthy Lifestyle LLC is 1518711829. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Crystal R Jackson Healthy Lifestyle LLC located?

Crystal R Jackson Healthy Lifestyle LLC is located at 610 York Rd Ste 400, Jenkintown, PA 19046. The listed phone number is (484) 561-1280.

What is Crystal R Jackson Healthy Lifestyle LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Crystal R Jackson Healthy Lifestyle LLC was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.