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Active NPI 1669807673 Individual Practitioner Female Practitioner

Calaise Jackson

Counselor • Forked River, NJ

Professional Overview & Biography Verified Profile Summary

Calaise Jackson is a registered healthcare professional specializing in Counselor in Forked River, NJ. Practice services are available at 615 LACEY RD STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

615 Lacey Rd Ste 3

Forked River, NJ 087312200

Telephone 6092423322
Associated Practice Facility / Clinic
🏢 Xanadu Behavior Therapy Facility NPI 1992933634

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Forked River, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Forked River, NJ (1633 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kristina Barone

Behavior Analyst

NPI 1104251073
Allison Whitam

Behavior Analyst

NPI 1114389954
NPI 1174958219

Licensed Social Worker

Michele Altomare

Developmental Therapist

NPI 1356692180
Rachael Ferrara , MS

Behavior Analyst

NPI 1417382425

Master of Science

NPI 1568858439

Master of Arts, Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2013

Registered at 615 LACEY RD STE 3, FORKED RIVER, NJ 087312200 (Tel: 6092423322)

📍
Updated Business Mailing Address September 09, 2013

Registered at 615 LACEY RD STE 3, FORKED RIVER, NJ 087312200 (Tel: 6092423322)

👤
Provider Name / Credentials Updated September 09, 2013

Recorded as CALAISE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2013

Counselor

🟢
Initial NPI Registration & Enumeration September 09, 2013

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: 1669807673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2013
Last Update: September 09, 2013
Sole Proprietor: No

Mailing Address

615 Lacey Rd Ste 3

Forked River, NJ 087312200

Phone: 6092423322

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.