ERNEST JACKSON CPRS
NPI 1659012797
Peer Specialist in Galloway, NJ

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
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Individual
Male
Peer Specialist

About ERNEST JACKSON

This page provides the complete NPI Profile along with additional information for Ernest Jackson, a provider established in Galloway, New Jersey with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1659012797 assigned on April 2022. The practitioner's primary taxonomy code is 175T00000X with license number CPRS-50229 (NJ). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1659012797 Verify this NPI
Provider Name: ERNEST JACKSON CPRS
Gender: Male
Entity Type: Individual
Location Address: 76 W JIMMIE LEEDS RD STE 402 GALLOWAY, NJ 08205
Location Phone: (609) 573-5260
Mailing Address: 700 W PARK AVE PLEASANTVILLE, NJ 08232
Mailing Phone: (609) 334-4575
Is Sole Proprietor?: Yes
Enumeration Date: 04-05-2022
Last Update Date: 04-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Peer Specialist
Taxonomy Code: 175T00000X
Type: Other Service Providers
License No.: CPRS-50229
License State: NJ
Taxonomy Description: 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.