Mr Timothy William Jackson, MA, CASAC - Counselor in Bath, NY

Mr Timothy William Jackson, MA, CASAC is a Counselor - Addiction (substance Use Disorder) based in Bath, New York. Mr Timothy William Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is 115 Liberty St, Bath, New York. He can be reached at his office (for appointments etc.) via phone at (607) 664-2152.

NPI number for Mr Timothy William Jackson is 1538485396 and his current mailing address is 115 Liberty St, Bath, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538485396.

Contact Information

Mr Timothy William Jackson, MA, CASAC
115 Liberty St,
Bath, NY 14810-1508
(607) 664-2152
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Timothy William Jackson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location115 Liberty St, Bath, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538485396
  • Provider Enumeration Date: 04/19/2010
  • Last Update Date: 03/16/2016

Medical Identifiers

Medical identifiers for Mr Timothy William Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538485396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy William Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Timothy William Jackson, MA, CASAC
115 Liberty St,
Bath, NY 14810-1508

Ph: () -
Mr Timothy William Jackson, MA, CASAC
115 Liberty St,
Bath, NY 14810-1508

Ph: (607) 664-2152

Reviews and Comments


Counselor in Bath, NY

Penny Wedd, CASAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-664-2156    Fax: 607-664-2152
Cindy L Phifer, CASAC-T
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-664-2156    Fax: 607-664-2152
Maureen C Dunn,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-776-6577    
Sandra Buto,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-664-2348    
Maigan Marie Brewer, MHC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-776-6577    
Nancy Gunby, CASAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-664-2156    
Lynne Morse,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 Liberty St, Bath, NY 14810
Phone: 607-664-4038    

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