JUSTIN A JACKSON
NPI 1962246629
Peer Specialist in Schenectady, NY

Active since June 19, 2024
600 FRANKLIN ST STE 204, SCHENECTADY, NY 12305(518) 372-7031(518) 372-7064 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 24, 2025, Jun 19, 2024 (2 updates tracked since 2024).

About Justin A Jackson NPPES

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

JUSTIN A JACKSON (NPI 1962246629) is an individual peer specialist in Schenectady, New York, licensed in New York (7214-P) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1962246629
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJUSTIN A JACKSON
Location Address600 FRANKLIN ST STE 204Schenectady, NY 12305-2107
Mailing Address70 Union AveSchenectady, NY 12308-2430
Fax(518) 372-7064
Sole ProprietorNo
Enumeration DateJune 19, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1962246629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NY · 7214-P
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
600 FRANKLIN ST STE 204, Schenectady, NY 12305

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.

Counselor (Addiction (Substance Use Disorder))
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Licensed Practical Nurse
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Social Worker
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Registered Nurse
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Counselor (Addiction (Substance Use Disorder))
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Registered Nurse
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Counselor (Mental Health)
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Counselor (Addiction (Substance Use Disorder))
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305

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 Justin Jackson's NPI number?

The NPI number for Justin Jackson is 1962246629. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Justin Jackson located?

Justin Jackson practices at 600 Franklin St Ste 204, Schenectady, NY 12305. The listed phone number is (518) 372-7031.

What is Justin Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Justin Jackson was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.