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Dr. Anthony Jerome Jackson, M.Div., M.A., D.Min.

Counselor, Mental Health in Elkins Park, PA. Individual provider (NPI-1).

NPI number1922410448
StatusActive
Last updated in NPPESJun 2, 2014

Details

NPI
1922410448
Entity type
Individual (NPI-1)
Name
Dr. Anthony Jerome Jackson
Credential
M.Div., M.A., D.Min.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 2, 2014
Last updated
Jun 2, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101YM0800X Counselor, Mental Health101YM0800x–

Practice location

1826 Chelsea Rd
Elkins Park, PA 19027-1056

Phone 267-625-9433

Mailing address

1826 Chelsea Rd
Elkins Park, PA 19027-1056

Phone 267-625-9433

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Elkins Park, PA

All 21 Mental Health Counselor providers in Elkins Park · All 696 providers in Elkins Park

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