Kristin Jackson
Counselor, Mental Health in Dunkirk, NY. Individual provider (NPI-1).
NPI number1972204022
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1972204022
- Entity type
- Individual (NPI-1)
- Name
- Kristin Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2023
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | P120255 | NY | Yes |
Practice location
186 Lake Shore Dr WDunkirk, NY 14048-1437
Phone 716-366-7660
Mailing address
14 Winding WayLakewood, NY 14750-9632
Phone 585-610-2469
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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.
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All 19 Mental Health Counselor providers in Dunkirk · All 449 providers in Dunkirk
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