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

Individual provider Mental Health Counselor · NPI 1003575010

Jacquelyn Angela Jackson, LMHC is a Mental Health Counselor in Commack, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322
Phone: (631) 533-0315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 380 N Broadway Ph E, Jericho, NY 11753-2198 — (631) 533-0315
  • 65 Air Park Dr Ste 10, Ronkonkoma, NY 11779-7374 — (631) 533-0315

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 012735 (NY)
Mental Health Counselor Taxonomy 101YM0800X (NY)

Record details

NPI number1003575010
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedDecember 17, 2021
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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