RAVEN MYKEL JACKSON MSED
NPI 1992557193
Counselor - Mental Health in Jacksonville, FL

Q: What is Raven Jackson's NPI number?

The NPI number for Raven Jackson is 1992557193. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Raven Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Raven Jackson was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 02, 2024

7865 ORTEGA BLUFF PKWY, JACKSONVILLE, FL 32244(904) 472-5583 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raven Mykel Jackson Msed NPPES

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

RAVEN MYKEL JACKSON MSED (NPI 1992557193) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (24527) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1992557193

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRAVEN MYKEL JACKSONCredential: MSED

Location Address7865 ORTEGA BLUFF PKWYJacksonville, FL 32244-6917

Mailing Address7865 Ortega Bluff PkwyJacksonville, FL 32244-6917 · (904) 472-5583

Phone(904) 472-5583

Sole ProprietorNo

Enumeration DateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1992557193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · 24527

7865 ORTEGA BLUFF PKWY, Jacksonville, FL 32244

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Raven Jackson's NPI number?

The NPI number for Raven Jackson is 1992557193. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Raven Jackson located?

Raven Jackson practices at 7865 Ortega Bluff Pkwy, Jacksonville, FL 32244. The listed phone number is (904) 472-5583.

What is Raven Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Raven Jackson accept?

Health plans from Molina Healthcare list Raven Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raven Jackson was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.