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MS. NASTASSIA S JACKSON LPC-IT
NPI 1720524341
Counselor - Mental Health in Milwaukee, WI

Active since January 07, 2017
6830 W VILLARD AVE STE 190, MILWAUKEE, WI 53218(262) 320-7886 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2019, Jan 7, 2017 (2 updates tracked since 2017).

About Ms. Nastassia S Jackson Lpc-it NPPES

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

MS. NASTASSIA S JACKSON LPC-IT (NPI 1720524341) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (7435) and active in the NPI registry since January 2017. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1720524341
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. NASTASSIA S JACKSONCredential: LPC-IT
Location Address6830 W VILLARD AVE STE 190Milwaukee, WI 53218
Mailing AddressPo Box 12922Milwaukee, WI 53212-0922 · (414) 265-6156
Phone(262) 320-7886
Sole ProprietorNo
Enumeration DateJanuary 7, 2017
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
✔ NPI 1720524341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WI · 7435✔ Licensed in WI · 2601
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
6830 W VILLARD AVE STE 190, Milwaukee, WI 53218
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Secondary Practice Location 1

Location 13753 N 87th StMilwaukee, WI 53222-2838 · Phone (414) 265-6156

Other Identifiers 1

Medicaid100071680WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Other Providers at the Same Location NPPES 3

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

DIFFERENT SHADES OF HEALING, LLC
Clinic/Center (Adolescent and Children Mental Health)
6830 W VILLARD AVE STE 190
MILWAUKEE, WI 53218
Milwaukee County (262) 320-7886
MS. HEATHER MARTIN
Social Worker (Clinical)
6830 W VILLARD AVE STE 190
MILWAUKEE, WI 53218
Milwaukee County (262) 320-7886
HEATHER SMITH
Counselor (Mental Health)
6830 W VILLARD AVE STE 190
MILWAUKEE, WI 53218
Milwaukee County (262) 320-7886

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 Nastassia Jackson's NPI number?

The NPI number for Nastassia Jackson is 1720524341. It was assigned to this individual provider in the NPPES registry on January 7, 2017.

Where is Nastassia Jackson located?

Nastassia Jackson practices at 6830 W Villard Ave Ste 190, Milwaukee, WI 53218. The listed phone number is (262) 320-7886.

What is Nastassia Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Nastassia Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Nastassia Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nastassia Jackson was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.