MS. CHEVON JACKSON MSW
NPI 1740767649
Counselor - Mental Health in Port St Lucie, FL

Active since July 24, 2018
525 NW LAKE WHITNEY PL STE 102, PORT ST LUCIE, FL 34986(772) 337-8164(772) 337-8165 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Chevon Jackson Msw NPPES

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

MS. CHEVON JACKSON MSW (NPI 1740767649) is an individual mental health provider in Port St Lucie, Florida, licensed in Florida (10018) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1740767649
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CHEVON JACKSONCredential: MSW
Location Address525 NW LAKE WHITNEY PL STE 102Port St Lucie, FL 34986-1605
Mailing Address516 Olive Tree CirGreenacres, FL 33413-3052 · (954) 326-7776
Fax(772) 337-8165
Sole ProprietorYes
Enumeration DateJuly 24, 2018
NPI 1740767649 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 FL · 10018
525 NW LAKE WHITNEY PL STE 102, Port St Lucie, FL 34986

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.

Counselor (Mental Health)
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL 34986
Counselor
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL 34986
Case Manager/Care Coordinator
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL 34986
Case Manager/Care Coordinator
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL 34986
Case Manager/Care Coordinator
525 NW LAKE WHITNEY PL STE 102
PORT SAINT LUCIE, FL 34986

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 Chevon Jackson's NPI number?

The NPI number for Chevon Jackson is 1740767649. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Chevon Jackson located?

Chevon Jackson practices at 525 NW Lake Whitney Pl Ste 102, Port St Lucie, FL 34986. The listed phone number is (772) 337-8164.

What is Chevon 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 Chevon Jackson was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.