JUSTIN A JACKSON
NPI 1962246629
Peer Specialist in Schenectady, NY
- Individual
- Male
- Peer Specialist
About JUSTIN JACKSON
This page provides the complete NPI Profile along with additional information for Justin Jackson, a provider established in Schenectady, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1962246629 assigned on June 2024. The practitioner's primary taxonomy code is 175T00000X with license number 7214-P (NY). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1962246629 Verify this NPI
- Provider Name
- JUSTIN A JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 600 FRANKLIN ST STE 204 SCHENECTADY, NY 12305
- Location Phone
- (518) 372-7031
- Location Fax
- (518) 372-7064
- Mailing Address
- 70 UNION AVE SCHENECTADY, NY 12308
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-19-2024
- Last Update Date
- 03-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 7214-P
- License State
- NY
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
SCHENECTADY, NY 12305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962246629, enumerated as an "individual" on June 19, 2024.
The provider is located at 600 FRANKLIN ST STE 204 SCHENECTADY, NY 12305 and the phone number is (518) 372-7031.
Peer Specialist with taxonomy code 175T00000X.
