Daniella Jackson, PH.D, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11216 Issued in FL

Practice address

7813 Mitchell Blvd Ste 106
New Port Richey, FL 34655-4723

Phone

(727) 767-9850

Fax

(727) 767-9851

NPI assigned

Sep 23, 2019

Last updated

Sep 23, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1205487006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 MITCHELL BLVD STE 106",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554723",
            "telephone_number": "727-767-9850",
            "fax_number": "727-767-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 MITCHELL BLVD STE 106",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554723",
            "telephone_number": "727-767-9850",
            "fax_number": "727-767-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIELLA",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Ivy, DC
• Akila A Iyer, MD
• Joni Faye A. Jabonite, M.D.
• Ashley T Jackson, APRN
• Charles Jackson
• Melinda Kay Jackson, ARNP
• Robert Allen Jackson, DC
• Selena Brooke Jackson, MA
• Madelaine J Jacobs
• Patricia Jadick, OTR

• Mental Health Counselor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.