IndividualActive
Deja Jackson
NPI 1114760774 · Mental Health Counselor · Sanford, FL
Deja Jackson is a Mental Health Counselor provider in Sanford, FL (NPI 1114760774).
Provider details
- NPI number
- 1114760774
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- IMH25319 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
2425 S Park Ave
Sanford, FL 32771-4419
Phone: (689) 247-7243
Street-level locationGet directions
Mailing address
417 Abbeywood Ln
Casselberry, FL 32707-5933
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Frequently asked questions
- What is Deja Jackson's NPI number?
- Deja Jackson's National Provider Identifier (NPI) is 1114760774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deja Jackson's specialty?
- Deja Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Deja Jackson located?
- Deja Jackson's practice location on file with NPPES is 2425 S Park Ave, Sanford, FL 32771-4419.
- What is Deja Jackson's phone number?
- The practice phone number listed in the NPPES registry for Deja Jackson is (689) 247-7243.
- Is Deja Jackson's NPI active?
- Yes — Deja Jackson's NPI (1114760774) is active in the NPPES registry as of the last update on 2024-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.