Jackson Elling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2521 13TH St Ste F
Saint Cloud, FL 34769-4103

Phone

(407) 900-4885

NPI assigned

Oct 3, 2026

Last updated

Oct 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1639073752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 13TH ST STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694103",
            "telephone_number": "407-900-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 13TH ST STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694103",
            "telephone_number": "407-900-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLING",
        "first_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Saint Cloud, FL
• Providers in Saint Cloud, 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 Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.