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Active NPI 1093231284 Individual Practitioner Male Practitioner

Christopher Jackson , LMHC

Counselor • Forest Hills, NY

Professional Overview & Biography Verified Profile Summary

Christopher Jackson, LMHC is a registered healthcare professional specializing in Counselor in Forest Hills, NY. Practice services are available at 104-70 QUEENS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104-70 Queens Blvd

Forest Hills, NY 11375

Telephone 7182756010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Forest Hills, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Forest Hills, NY (4032 Statewide)

Telehealth Adoption Rate
11.1% 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: 2020-01-13
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License NY 008069

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.

Secondary Practice Locations

475 E Main St

Patchogue, NY 117723121

Phone: 5163632001

Practice Associates & Co-Workers

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

40 Associated Practitioners
Eun Choi , LMSW

Social Worker

NPI 1003392994

Licensed Master Social Worker

Carolina Nudo

Social Worker

NPI 1003965401
Samantha Torch , LMSW

Social Worker - Clinical

NPI 1013196179

Licensed Master Social Worker

Urmi Chakrabarti

Social Worker

NPI 1013197581
Jessica Macdonald

Counselor - Mental Health

NPI 1013223809
Nancy Pascal , MSWI

Social Worker - Clinical

NPI 1013346204

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 13, 2020

Registered at 104-70 QUEENS BLVD, FOREST HILLS, NY 11375 (Tel: 7182756010)

NPI Profile Active August 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2017

Registered at 475 E MAIN ST, PATCHOGUE, NY 117723121 (Tel: (516) 363-2001)

📍
Updated Business Mailing Address August 18, 2017

Registered at 475 E MAIN ST, PATCHOGUE, NY 117723121 (Tel: 5163632001)

👤
Provider Name / Credentials Updated August 18, 2017

Recorded as CHRISTOPHER JACKSON, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Counselor (License #008069 in NY)

🟢
Initial NPI Registration & Enumeration August 18, 2017

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: 1093231284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

475 E Main St

Patchogue, NY 117723121

Phone: 5163632001

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.