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TIFFANY KRYSTAL JACKSON
NPI 1780936997
Counselor - Mental Health in Orangeburg, SC

Active since October 11, 2012
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118(803) 536-1571 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tiffany Krystal Jackson NPPES

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

TIFFANY KRYSTAL JACKSON (NPI 1780936997) is an individual mental health provider in Orangeburg, South Carolina and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1780936997
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY KRYSTAL JACKSON
Location Address2319 SAINT MATTHEWS RDOrangeburg, SC 29118-2042
Mailing Address2319 Saint Matthews RdOrangeburg, SC 29118-2042 · (803) 536-1571
Phone(803) 536-1571
Sole ProprietorNo
Enumeration DateOctober 11, 2012
✔ NPI 1780936997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2319 SAINT MATTHEWS RD, Orangeburg, SC 29118
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Other Identifiers 1

Medicaid413093SC

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.

CAROLYN MOSLEY MASTER OF SCIENCE
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 516-4254
MR. DENNIS RAY WADE I
Peer Specialist
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571
STEPHANIE GREEN MA REHAB COUNSELING
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571
KIMBERLY NICOLE HICKS LPC
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571
QUAI STEPHENS
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571
MRS. LATISCHA JACKSON HERRIOTT M.A.
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571
BRYANT WILLIAMS
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571
DREQUEZ MCFADDEN
Counselor (Mental Health)
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 536-1571

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 Tiffany Jackson's NPI number?

The NPI number for Tiffany Jackson is 1780936997. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 2319 Saint Matthews Rd, Orangeburg, SC 29118. The listed phone number is (803) 536-1571.

What is Tiffany 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 Tiffany Jackson was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.