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

Susan Jackson

Individual provider Professional Counselor · NPI 1629402995

Susan Jackson is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Greater Philadelphia Health Action Inc, a 71-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
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Practice location Address checks out

4510 Frankford Ave 2nd Fl
Philadelphia, PA 19124-3602
Phone: (215) 744-1302
Fax: (215) 744-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1629402995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2013
Last updated in NPPESAugust 22, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Greater Philadelphia Health Action Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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