What is Mary Jackson's NPI number?

Mary Jackson's National Provider Identifier (NPI) is 1093121477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Jackson's specialty?

Mary Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Mary Jackson located?

Mary Jackson's practice location on file with NPPES is 15 Brant Ave, Clark, NJ 07066-1564.

What is Mary Jackson's phone number?

The practice phone number listed in the NPPES registry for Mary Jackson is (908) 922-3309.

Is Mary Jackson's NPI active?

Yes — Mary Jackson's NPI (1093121477) is active in the NPPES registry as of the last update on 2014-07-07.

IndividualActive

Mary Jackson

NPI 1093121477 · Counselor · Clark, NJ

Mary Jackson is a Counselor provider in Clark, NJ (NPI 1093121477).

Provider details

NPI number: 1093121477
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

15 Brant Ave

Suite 8

Clark, NJ 07066-1564

Phone: (908) 922-3309

Street-level locationGet directions

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Mailing address