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JAMIE JACKSON BEYOND HS
NPI 1750679791
Counselor in Pawtucket, RI

Active since July 12, 2011
101 BACON ST, PAWTUCKET, RI 02860(401) 724-8400(401) 722-5039 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jamie Jackson Beyond Hs NPPES

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

JAMIE JACKSON BEYOND HS (NPI 1750679791) is an individual counselor in Pawtucket, Rhode Island and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1750679791
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJAMIE JACKSONCredential: BEYOND HS
Location Address101 BACON STPawtucket, RI 02860-5542
Mailing Address101 Bacon StPawtucket, RI 02860-5542 · (401) 724-8400 · Fax (401) 722-5039
Phone(401) 724-8400
Fax(401) 722-5039
Sole ProprietorNo
Enumeration DateJuly 12, 2011
✔ NPI 1750679791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
101 BACON ST, Pawtucket, RI 02860
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Other Identifiers 1

MedicaidGH57134RI

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.

TRISHA JOHNSON
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
MS. ALLYSON YVETTE VENTURA-TESILLO LCSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
CHRISTINE EMOND LICSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
STEFANIE BRIGANTI ACDP
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
RANDY ESTRADQ BACHELOR
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
NICOLE VADNAIS MASTERS
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
JOSEPH CLIFFORD LICSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
LONI TEIXEIRA
Registered Nurse (Psychiatric/Mental Health)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560

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 Jamie Jackson's NPI number?

The NPI number for Jamie Jackson is 1750679791. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Where is Jamie Jackson located?

Jamie Jackson practices at 101 Bacon St, Pawtucket, RI 02860. The listed phone number is (401) 724-8400.

What is Jamie Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jamie Jackson was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.