Active NPI
Erica Lynn Jackson, LMHC
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1508983693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH1487
- Practice address
- 8895 N Military TRL
Suite 303-E
West Palm Beach, FL 33410-6220 - Phone
- (561) 818-2834
- Fax
- (561) 684-8812
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH1487 | FL | Primary |
Addresses
Primary practice location
8895 N Military TRL
Suite 303-E
West Palm Beach, FL 33410-6220
Mailing address
8895 N Military TRL
Suite 303-E
West Palm Beach, FL 33410-6220
Phone (561) 818-2834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH1487 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325462400000",
"number": "1508983693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8895 N MILITARY TRL",
"address_2": "SUITE 303-E",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106220",
"telephone_number": "561-818-2834",
"fax_number": "561-684-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8895 N MILITARY TRL",
"address_2": "SUITE 303-E",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106220",
"telephone_number": "561-818-2834",
"fax_number": "561-684-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ERICA",
"middle_name": "LYNN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2012-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH1487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.