Organization Active NPI

Jackson Consulting LLC

  • Community/Behavioral Health Agency
  • Birmingham, AL
National Provider Identifier
1033448824
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1322 Issued in AL
Legal business name
JACKSON CONSULTING LLC
Practice address
1 Chase Corporate Center Drive
Suite 400
Birmingham, AL 35244
Phone
(205) 313-6432
Fax
(205) 313-6431
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melissa Faye Jackson, PH.D.NPI 1619066982
Title
Owner, Clinical Psychologist
Phone
(205) 999-3701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1322 AL Primary

Addresses

Primary practice location

1 Chase Corporate Center Drive
Suite 400
Birmingham, AL 35244

Mailing address

5780 Heritage Park Dr
MC Calla, AL 35111-3490
Phone (205) 313-6432

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1033448824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 HERITAGE PARK DR",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113490",
            "telephone_number": "205-313-6432",
            "fax_number": "205-313-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE CENTER DRIVE",
            "address_2": "SUITE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-313-6432",
            "fax_number": "205-313-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-999-3701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.