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MR. TIMOTHY WILLIAM JACKSON M.A., CASAC
NPI 1538485396
Counselor - Addiction (Substance Use Disorder) in Bath, NY

Active since April 19, 2010
115 LIBERTY ST, BATH, NY 14810(607) 664-2152 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Timothy William Jackson M.a., Casac NPPES

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

MR. TIMOTHY WILLIAM JACKSON M.A., CASAC (NPI 1538485396) is an individual addiction (substance use disorder) provider in Bath, New York and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1538485396
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY WILLIAM JACKSONCredential: M.A., CASAC
Location Address115 LIBERTY STBath, NY 14810-1508
Mailing Address115 Liberty StBath, NY 14810-1508
Phone(607) 664-2152
Sole ProprietorNo
Enumeration DateApril 19, 2010
Last NPPES UpdateMarch 16, 2016
✔ NPI 1538485396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
115 LIBERTY ST, Bath, NY 14810
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Other Providers at the Same Location NPPES 20

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

WENDY KESEL LCSW-R
Social Worker (Clinical)
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 776-6577
PENNY WEDD CASAC
Counselor (Addiction (Substance Use Disorder))
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 664-2156
CINDY L PHIFER CASAC-T
Counselor (Addiction (Substance Use Disorder))
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 664-2156
TYLER HEFLIN
Social Worker (Clinical)
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 664-2255
TAWYNA HUGHES
Counselor (Mental Health)
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 664-2255
MAUREEN C DUNN
Counselor (Mental Health)
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 776-6577
NANETTE CAPPADONIA
Registered Nurse
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 776-6577
LAURA A WADSWORTH LMSW
Social Worker
115 LIBERTY ST
BATH, NY 14810
Steuben County (607) 776-6577

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 Timothy Jackson's NPI number?

The NPI number for Timothy Jackson is 1538485396. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Timothy Jackson located?

Timothy Jackson practices at 115 Liberty St, Bath, NY 14810. The listed phone number is (607) 664-2152.

What is Timothy Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Jackson was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.