Susan Jackson
NPI 1629402995 · Professional Counselor · Philadelphia, PA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Jackson is a Professional Counselor provider in Philadelphia, PA (NPI 1629402995).
Provider details
- NPI number
- 1629402995
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-08-22
- Last updated
- 2013-08-22
Frequently asked questions
- What is Susan Jackson's NPI number?
- Susan Jackson's National Provider Identifier (NPI) is 1629402995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Jackson's specialty?
- Susan Jackson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Susan Jackson located?
- Susan Jackson's practice location on file with NPPES is 4510 Frankford Ave, Philadelphia, PA 19124-3602.
- What is Susan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Susan Jackson is (215) 744-1302.
- Does Susan Jackson accept Medicare?
- Susan Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Jackson's NPI active?
- Yes — Susan Jackson's NPI (1629402995) is active in the NPPES registry as of the last update on 2013-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.