Jasmine Kiara Jackson, MS.ED., LMHC, LPC
Individual provider Active NPI Mental Health Counselor · Beverly, NJ
NPI 1003516295 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1003516295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 018368 (NY)
- Practice address
- 120 Elm St Apt W4
Beverly, NJ 08010-2530 - Phone
- (646) 941-3107
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 068.0137391TELE | VT | |
| Mental Health Counselor | 101YM0800X | TPMC8286 | FL | |
| Mental Health Counselor | 101YM0800X | 37PC01307100 | NJ | |
| Mental Health Counselor | 101YM0800X | 018368 | NY | Yes |
Addresses
Primary practice location
120 Elm St Apt W4
Beverly, NJ 08010-2530
Mailing address
418 Broadway # 11756
Albany, NY 12207-2922
Phone (518) 818-6769
Other practice location 1
418 Broadway # 11756
Albany, NY 12207-2922
Phone (646) 941-3107
Other providers in Beverly, NJ
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- Ruth Goda
- Tiffiny Shantay Green
- Sasha Harris
- Mia Haskins
- Nadine Jacobs
- National Mentor Healthcare, LLC
- Evelyn Pappoe
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All providers in Beverly, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.