Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Ulysses Jackson Licensed Mental Health Counseling PLLC

Organization Mental Health Counselor · NPI 1861112336

Dr Ulysses Jackson Licensed Mental Health Counseling PLLC is a Mental Health Counselor in Deer Park, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

89 Washington Ave
Deer Park, NY 11729-6917
Phone: (631) 767-9294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1861112336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ulysses Jackson — Owner · (631) 767-9294
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022
Mailing address89 Washington Ave, Deer Park, NY 11729-6917

Other providers in Deer Park