Sonya Lynn Jackson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5231 Penn Ave FL 2
Pittsburgh, PA 15224-1768

Phone

(412) 204-9100

Fax

(412) 204-9137

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1043962293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 PENN AVE FL 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241768",
            "telephone_number": "412-204-9100",
            "fax_number": "412-204-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 PENN AVE FL 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241768",
            "telephone_number": "412-204-9100",
            "fax_number": "412-204-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SONYA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacksonsl3@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5231 Penn Ave Fl 2",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152241768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael J Jackson, DMD
• Nicole Jackson, LPN
• Patricia J Jackson
• Pauline Patrice Jackson
• Riley Thomas Jackson
• Teonna Jackson
• Thomas W Jackson, DS026194L
• Tracey Jackson, PA-C
• Anila George Jacob, MD
• Christopher Thomas Jacob

• Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.