Active NPI
Angela Jackson, LPC
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1669077863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 804
- Practice address
- PO Box 511
Denver, CO 80201-0511 - Phone
- (919) 903-3838
- NPI assigned
- Dec 3, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701013995 | VA | |
| Mental Health Counselor | 101YM0800X | 804 | HI | Primary |
| Professional Counselor | 101YP2500X | 86639 | TX | |
| Professional Counselor | 101YP2500X | 14797 | MD |
Addresses
Primary practice location
PO Box 511
Denver, CO 80201-0511
Mailing address
PO Box 511
Denver, CO 80201-0511
Phone (919) 903-3838
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 |
|---|---|---|---|
| 14797 | MD | MD | Professional Counselor |
| 86639 | TX | MD | Professional Counselor |
| 0701013995 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Works, LLC | Mental Health | Current | Accepting new patients |
| Hawaii Behavioral Health, LLC | Past | Accepting new patients | |
| Hawaii Behavioral Health, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1306506068
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1881742104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1669077863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511",
"city": "DENVER",
"state": "CO",
"postal_code": "802010511",
"telephone_number": "919-903-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 511",
"city": "DENVER",
"state": "CO",
"postal_code": "802010511",
"telephone_number": "919-903-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ANGELA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701013995",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "804",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86639",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "14797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.