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

Individual provider Marriage & Family Therapist · NPI 1902549405

Shauntay Jackson, LMFT is a Marriage & Family Therapist in Bronx, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

2541 Olinville Ave Apt 4B
Bronx, NY 10467-7491
Phone: (347) 318-7140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1178 Broadway Fl 3, New York, NY 10001-5666 — (347) 318-7140

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 002627-01 (NY)

Record details

NPI number1902549405
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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