What is Octavia Jackson's NPI number?

Octavia Jackson's National Provider Identifier (NPI) is 1588523419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Octavia Jackson's specialty?

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

Where is Octavia Jackson located?

Octavia Jackson's practice location on file with NPPES is 4215 Park Ave, Bronx, NY 10457-6073.

What is Octavia Jackson's phone number?

The practice phone number listed in the NPPES registry for Octavia Jackson is (917) 870-2097.

Is Octavia Jackson's NPI active?

Yes — Octavia Jackson's NPI (1588523419) is active in the NPPES registry as of the last update on 2026-01-16.

IndividualActive

Octavia Jackson

NPI 1588523419 · Mental Health Counselor · Bronx, NY

Octavia Jackson is a Mental Health Counselor provider in Bronx, NY (NPI 1588523419).

Provider details

NPI number: 1588523419
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: 015528 (NY)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 015528 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

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

Registry tenure38% of score
Under 1 yr in 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

4215 Park Ave

Bronx, NY 10457-6073

Phone: (917) 870-2097

Street-level locationGet directions

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Mailing address