Shauntay Jackson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

002627-01 Issued in NY

Practice address

2541 Olinville Ave Apt 4B
Bronx, NY 10467-7491

Phone

(347) 318-7140

NPI assigned

Apr 14, 2022

Last updated

Dec 30, 2025By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Head in the Right Direction Counseling Services LCSW PC

  • Clinical Social Worker
  • Cold Spring, NY
  • NPI 1497176358
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1902549405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 OLINVILLE AVE APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677491",
            "telephone_number": "347-318-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 OLINVILLE AVE APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677491",
            "telephone_number": "347-318-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1178 Broadway Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015666",
            "country_code": "US",
            "telephone_number": "347-318-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHAUNTAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002627-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha C Jackson, MD
• Nyesha Alexis Jackson, LMSW
• Octavia Mary Jackson
• Renee Jackson
• Shauna Jackson
• Sheena Lene Jackson, MSED
• Sheryl Patricia Jackson
• Sonji Jackson, CASAC
• Sylvio Jackson
• Tamara Desiree Jackson

• Marriage & Family Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.