ERNEST JACKSON CPRS
NPI 1659012797
Peer Specialist in Galloway, NJ

Active since April 05, 2022
76 W JIMMIE LEEDS RD STE 402, GALLOWAY, NJ 08205(609) 573-5260 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ernest Jackson Cprs NPPES

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

ERNEST JACKSON CPRS (NPI 1659012797) is an individual peer specialist in Galloway, New Jersey, licensed in New Jersey (CPRS-50229) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1659012797
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameERNEST JACKSONCredential: CPRS
Location Address76 W JIMMIE LEEDS RD STE 402Galloway, NJ 08205-9400
Mailing Address700 W Park AvePleasantville, NJ 08232-4360 · (609) 334-4575
Sole ProprietorYes
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1659012797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NJ · CPRS-50229
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
76 W JIMMIE LEEDS RD STE 402, Galloway, NJ 08205

Other Providers at the Same Location NPPES 5

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

Peer Specialist
76 W JIMMIE LEEDS RD STE 402
GALLOWAY, NJ 08205
Social Worker (Clinical)
76 W JIMMIE LEEDS RD STE 402
GALLOWAY, NJ 08205
Clinic/Center (Adolescent and Children Mental Health)
76 W JIMMIE LEEDS RD STE 402
GALLOWAY, NJ 08205
Substance Abuse Rehabilitation Facility
76 W JIMMIE LEEDS RD STE 402
GALLOWAY, NJ 08205
Counselor (Mental Health)
76 W JIMMIE LEEDS RD STE 402
GALLOWAY, NJ 08205

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 Ernest Jackson's NPI number?

The NPI number for Ernest Jackson is 1659012797. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Ernest Jackson located?

Ernest Jackson practices at 76 W Jimmie Leeds Rd Ste 402, Galloway, NJ 08205. The listed phone number is (609) 573-5260.

What is Ernest Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ernest Jackson was last updated on April 5, 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.