SHAUNTAY JACKSON LMFT
NPI 1902549405
Marriage & Family Therapist in Bronx, NY

Q: What is Shauntay Jackson's NPI number?

The NPI number for Shauntay Jackson is 1902549405. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Shauntay Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Shauntay Jackson was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 14, 2022

2541 OLINVILLE AVE APT 4B, BRONX, NY 10467(347) 318-7140 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 30, 2025, Apr 14, 2022 (2 updates tracked since 2022).

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About Shauntay Jackson Lmft NPPES

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

SHAUNTAY JACKSON LMFT (NPI 1902549405) is an individual marriage & family therapist in Bronx, New York, licensed in New York (002627-01) and active in the NPI registry since April 2022. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1902549405

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHAUNTAY JACKSONCredential: LMFT

Location Address2541 OLINVILLE AVE APT 4BBronx, NY 10467-7491

Mailing Address2541 Olinville Ave Apt 4bBronx, NY 10467-7491 · (347) 318-7140

Phone(347) 318-7140

Sole ProprietorYes

Enumeration DateApril 14, 2022

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1902549405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NY · 002627-01

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2541 OLINVILLE AVE APT 4B, Bronx, NY 10467

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Secondary Practice Location 1

Location 11178 Broadway Fl 3New York, NY 10001-5666 · Phone (347) 318-7140

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 Shauntay Jackson's NPI number?

The NPI number for Shauntay Jackson is 1902549405. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Shauntay Jackson located?

Shauntay Jackson practices at 2541 Olinville Ave Apt 4B, Bronx, NY 10467. The listed phone number is (347) 318-7140.

What is Shauntay Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Shauntay Jackson was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.