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ANNA JACKSON
NPI 1891342804
Counselor - Professional in Philadelphia, PA

Active since August 23, 2019
112 N BROAD ST, PHILADELPHIA, PA 19102(215) 568-0860 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 12, 2024, Nov 20, 2024, Aug 23, 2019 (3 updates tracked since 2019).

About Anna Jackson NPPES

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

ANNA JACKSON (NPI 1891342804) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC011832) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1891342804
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANNA JACKSON
Location Address112 N BROAD STPhiladelphia, PA 19102-1512
Mailing Address519 E Harris StSavannah, GA 31401-4621 · (912) 695-7021
Phone(215) 568-0860
Sole ProprietorNo
Enumeration DateAugust 23, 2019
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1891342804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in PA · PC011832✔ Licensed in GA · LPC014016
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
112 N BROAD ST, Philadelphia, PA 19102
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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.

CHRISTY LEHMAN
Counselor (Addiction (Substance Use Disorder))
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
RICHARD A. BETHKE
Case Manager/Care Coordinator
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MS. TAMMIE DENISE HARLEY M.S. SPECIAL ED
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
JOHAN A GONZALEZ B.A.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
MR. MARCUS B MATADI A.A.
Counselor
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
AMANDA GIGANTE
Counselor (Mental Health)
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MR. KYLE C PRINGLE B.S.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
LESLIE BETH BECKER LCSW
Social Worker (Clinical)
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860

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 Anna Jackson's NPI number?

The NPI number for Anna Jackson is 1891342804. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Anna Jackson located?

Anna Jackson practices at 112 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 568-0860.

What is Anna Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Anna Jackson was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.