Emily Jackson, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC04779 Issued in AL

Practice address

9869 Pulaski Pike Unit C
Toney, AL 35773-7201

Phone

(256) 850-4091

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Clark Counseling Services

  • Mental Health Counselor
  • Toney, AL
  • NPI 1912877481
  NPD
• Over the Horizon Counseling LLC

  • Clinical Social Worker
  • Meridianville, AL
  • NPI 1437744141
  NPD (past)
• The Riley Behavioral and Educational Center

  • Developmental Therapist
  • Huntsville, AL
  • NPI 1215156872
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1679227748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9869 PULASKI PIKE UNIT C",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357737201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 PULASKI PIKE UNIT C",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357737201",
            "telephone_number": "256-850-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Wynn Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358051961",
            "country_code": "US",
            "telephone_number": "125-688-2245",
            "fax_number": "256-882-2459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EMILY",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04779",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-21-190282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "ALC04779",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-21-190282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Huntsville Chiropractic Clinic LLC.
• Rebecca Lafferty
• Lending Hands, Inc.
• Celia Winifred Lloyd-Turney, MD
• Malie Therapy Services LLC
• Kelly Marie Mattos, LMSW

• Mental Health Counselor in Toney, AL
• Providers in Toney, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.