NPIMap

Organization Active NPI

Jackson Counseling Services

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1740640184
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JACKSON COUNSELING SERVICES
Practice address
130 W Water St.
Unit 1287
Toms River, NJ 08753-0875
Phone
(732) 431-0646
NPI assigned
Feb 27, 2016
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Ms. Jennell Ann Jackson, LCSWNPI 1841452356
Title
Provider
Phone
(732) 784-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

130 W Water St.
Unit 1287
Toms River, NJ 08753-0875

Mailing address

PO Box 1287
Toms River, NJ 08754-1287
Phone (732) 431-0646

Other practice location 1

59 Throckmorton St
Freehold, NJ 07728-1946
Phone (732) 431-0646

National Provider Directory

National Provider Directory

Locations

501 Iron Bridge Rd
Ste 15
Freehold, NJ 07728
Phone (732) 784-8309

59 Throckmorton St
Freehold, NJ 07728
Phone (732) 431-0646

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1740640184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541287",
            "telephone_number": "732-431-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WATER ST.",
            "address_2": "UNIT 1287",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087530875",
            "telephone_number": "732-431-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Throckmorton St",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077281946",
            "country_code": "US",
            "telephone_number": "732-431-0646",
            "fax_number": "732-431-0648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNELL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "732-784-8309",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.