Tyler Jackson, IMT4395

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT4395 Issued in FL

Practice address

1600 E Robinson St Ste 250
Orlando, FL 32803-5955

Phone

(407) 423-3327

NPI assigned

May 27, 2025

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Everyone's Counseling Center, Inc.

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1285029058
  NPD

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1568255230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SHEOAH BLVD APT 36",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082438",
            "telephone_number": "407-921-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROBINSON ST STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035955",
            "telephone_number": "407-423-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TYLER",
        "credential": "IMT4395",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT4395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree Monet Jackson, ARNP
• Sherry Jackson
• Talesha Michell Jackson, APRN
• Teri Lynn Jackson, ARNP
• Thomas Joseph Jackson, CRNA
• Zyyunna Jackson
• Jacksonville Chiropractic Center Inc.
• Felicia Jacob, M.D
• Hannah Jacob, MD
• Jessica Jacob, OD

• Marriage & Family Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.