Joseph S Jackson, M.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

502 Downing CT
Exton, PA 19341-2090

Phone

(484) 879-6566

NPI assigned

Dec 14, 2009

Sex

Male

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

Credentials

Master of Education

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1962731315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 DOWNING CT",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412090",
            "telephone_number": "484-879-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DOWNING CT",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412090",
            "telephone_number": "484-879-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Wellness Associates of West Chester, LLC
• Ellen Inverso, PSYD
• Nicole A Irick, CRNA
• Karen Anne Izzi, PHD, BFA, CNA
• J.a. Montgomery Ventures, Inc.
• Sara W Jackson, PA
• Arun Jacob, PHARMD
• July Jacob
• Jumie M Jacob, PHARMD
• Oluwakemi Jacobs, MA CCC SLP

• Mental Health Counselor in Exton, PA
• Providers in Exton, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.