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MS. ROSEANNE JOHNSON JACKSON
NPI 1700116993
Counselor - Mental Health in Buffalo, NY

Active since January 11, 2010
2128 ELMWOOD AVE, BUFFALO, NY 14207(716) 874-4500 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Roseanne Johnson Jackson NPPES

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

MS. ROSEANNE JOHNSON JACKSON (NPI 1700116993) is an individual mental health provider in Buffalo, New York, licensed in New York (083560-1) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1700116993
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ROSEANNE JOHNSON JACKSON
Location Address2128 ELMWOOD AVEBuffalo, NY 14207-1910
Mailing Address2128 Elmwood AveBuffalo, NY 14207-1910 · (716) 874-4500
Phone(716) 874-4500
Sole ProprietorNo
Enumeration DateJanuary 11, 2010
Last NPPES UpdateOctober 17, 2016
✔ NPI 1700116993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 083560-1
2128 ELMWOOD AVE, Buffalo, NY 14207
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Other Names 1

Former Name (1)Ms. Roseanne Lee Johnson

Other Identifiers 1

Medicare PINJ400328322NY

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.

KIMBERLY ANN SCHILLACE PHYSICAL THERAPIST
Physical Therapist
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 874-4500
MRS. FRANCES VICTORIA ZABAWA RN
Registered Nurse
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 874-5600
JAMES CONTI PTA
Physical Therapy Assistant
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 566-5007
MRS. KATHLEEN THERESA ERTEL RN
Registered Nurse
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 874-5600
MRS. JENNIFER A SANDER RN
Registered Nurse
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 874-4500
LINDA SCHMIDT
Registered Nurse
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 874-4500
MS. ILENE P SIMON SLP
Speech-Language Pathologist
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 874-5600
MR. JAMES PATRICK ACKLEY MS ED
Specialist/Technologist
2128 ELMWOOD AVE
BUFFALO, NY 14207
Erie County (716) 392-6255

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 Roseanne Jackson's NPI number?

The NPI number for Roseanne Jackson is 1700116993. It was assigned to this individual provider in the NPPES registry on January 11, 2010. The provider is also known as Ms. Roseanne Lee Johnson.

Where is Roseanne Jackson located?

Roseanne Jackson practices at 2128 Elmwood Ave, Buffalo, NY 14207. The listed phone number is (716) 874-4500.

What is Roseanne 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 Roseanne Jackson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.