IndividualActive
Anquanette Jackson
NPI 1679087282 · Counselor · South Daytona, FL
Anquanette Jackson is a Counselor provider in South Daytona, FL (NPI 1679087282).
Provider details
- NPI number
- 1679087282
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2400 S Ridgewood Ave
South Daytona, FL 32119-3097
Phone: (305) 928-0167
Street-level locationGet directions
Mailing address
579 Lagorce Ter
Deltona, FL 32738-8973
Additional practice locations (1)
- 579 Lagorce TerDeltona, FL 32738-8973Phone: (305) 928-0167
Registry dates
- Enumerated
- 2017-11-20
- Last updated
- 2018-03-17
Frequently asked questions
- What is Anquanette Jackson's NPI number?
- Anquanette Jackson's National Provider Identifier (NPI) is 1679087282, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anquanette Jackson's specialty?
- Anquanette Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Anquanette Jackson located?
- Anquanette Jackson's practice location on file with NPPES is 2400 S Ridgewood Ave, South Daytona, FL 32119-3097.
- What is Anquanette Jackson's phone number?
- The practice phone number listed in the NPPES registry for Anquanette Jackson is (305) 928-0167.
- Is Anquanette Jackson's NPI active?
- Yes — Anquanette Jackson's NPI (1679087282) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.