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

Jayly Jermayne Jackson

Individual provider Mental Health Counselor · NPI 1114698818

Jayly Jermayne Jackson is a Mental Health Counselor in Anchorage, Alaska. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

3801 University Lake Dr Ste 205
Anchorage, AK 99508-4658
Phone: (907) 729-2492
Fax: (907) 729-3950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1114698818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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