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Active NPI 1285366898 Individual Practitioner Female Practitioner

Jennifer Rosemary Jackson , MA

Counselor - School • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Jackson, MA is a registered healthcare professional specializing in Counselor - School in Jacksonville, FL. Practice services are available at 5671 ELLIS TRACE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5671 Ellis Trace Dr

Jacksonville, FL 322056135

Telephone 9044408955

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Jacksonville, FL (112 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-05
Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

State License FL 942538

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL 22539

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2022

Registered at 5671 ELLIS TRACE DR, JACKSONVILLE, FL 322056135 (Tel: 9044408955)

📍
Updated Business Mailing Address June 30, 2022

Registered at 5671 ELLIS TRACE DR, JACKSONVILLE, FL 322056135 (Tel: 9044408955)

👤
Provider Name / Credentials Updated June 30, 2022

Recorded as JENNIFER JACKSON, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2022

Counselor (License #22539 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285366898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2022
Last Update: June 30, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

5671 Ellis Trace Dr

Jacksonville, FL 322056135

Phone: 9044408955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.