SELENA BROOKE JACKSON MA
NPI 1538040175
Counselor - Mental Health in New Port Richey, FL

Active since September 10, 2025
6563 STATE ROAD 54, NEW PORT RICHEY, FL 34653(727) 380-9181 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Selena Brooke Jackson Ma NPPES

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

SELENA BROOKE JACKSON MA (NPI 1538040175) is an individual mental health provider in New Port Richey, Florida and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1538040175
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSELENA BROOKE JACKSONCredential: MA
Location Address6563 STATE ROAD 54New Port Richey, FL 34653-6003
Mailing Address9300 Mango StNew Port Richey, FL 34654-1052 · (304) 240-9349
Sole ProprietorNo
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 8, 2025
NPI 1538040175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6563 STATE ROAD 54, New Port Richey, FL 34653

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Counselor (School)
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Counselor (School)
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Counselor
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Student in an Organized Health Care Education/Training Program
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Community/Behavioral Health
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Counselor (Mental Health)
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Counselor (Mental Health)
6563 STATE ROAD 54
NEW PORT RICHEY, FL 34653

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 Selena Jackson's NPI number?

The NPI number for Selena Jackson is 1538040175. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Selena Jackson located?

Selena Jackson practices at 6563 State Road 54, New Port Richey, FL 34653. The listed phone number is (727) 380-9181.

What is Selena 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 Selena Jackson was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.