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TROY JACKSON
NPI 1699564203
Counselor - Addiction (Substance Use Disorder) in Farmingville, NY

Active since May 01, 2025
100 GRANNY RD, FARMINGVILLE, NY 11738(631) 696-4357 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Troy Jackson NPPES

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

TROY JACKSON (NPI 1699564203) is an individual addiction (substance use disorder) provider in Farmingville, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1699564203
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameTROY JACKSON
Location Address100 GRANNY RDFarmingville, NY 11738-2879
Mailing Address1377 Motor Pkwy Ste 102Islandia, NY 11749-5249
Phone(631) 696-4357
Sole ProprietorNo
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1699564203 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
100 GRANNY RD, Farmingville, NY 11738
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Other Providers at the Same Location NPPES 9

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

RACHEL CICCOTTO
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
MS. MARGARET M SHEEHAN NP
Nurse Practitioner (Adult Health)
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
JILLIAN LOCASCIO LPN
Licensed Practical Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
ANAM MOHIUDDIN
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
STEPHANIE DAMIAN
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
CATHY RANDOLPH NP
Nurse Practitioner (Psychiatric/Mental Health)
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 994-1075
CHRISTOPHER BAISLEY
Counselor (Addiction (Substance Use Disorder))
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
MARISSA PLUSKALOWSKI MSW
Social Worker
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357

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 Troy Jackson's NPI number?

The NPI number for Troy Jackson is 1699564203. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Troy Jackson located?

Troy Jackson practices at 100 Granny Rd, Farmingville, NY 11738. The listed phone number is (631) 696-4357.

What is Troy 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 Troy Jackson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.