Tiffany Nicole Jackson, LMHC is a
Counselor - Mental Health based in Chittenango, New York. Tiffany Nicole Jackson is licensed to practice in New York (license number 005758) and her current practice location is
6292 Dyke Rd, Chittenango, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 418-6198.
NPI number for Tiffany Nicole Jackson is 1245892694 and her current mailing address is 6292 Dyke Rd, Chittenango, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245892694.
Healthcare Provider's Profile
Full Name | Tiffany Nicole Jackson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6292 Dyke Rd, Chittenango, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245892694
- Provider Enumeration Date: 07/06/2019
- Last Update Date: 07/06/2019
Medical Identifiers
Medical identifiers for Tiffany Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245892694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 005758 (New York) | 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. Tiffany Nicole 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 Address | Practice Location Address |
Tiffany Nicole Jackson, LMHC 6292 Dyke Rd, Chittenango, NY 13037-9404 Ph: (315) 418-6198 | Tiffany Nicole Jackson, LMHC 6292 Dyke Rd, Chittenango, NY 13037-9404 Ph: (315) 418-6198 |
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