CHRISTOPHER JACKSON LMHC
NPI 1093231284
Counselor in Forest Hills, NY

NPI Status: Active since August 18, 2017

Contact Information

104-70 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375
Phone: (718) 275-6010

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  • Individual
  • Male
  • Counselor

About CHRISTOPHER JACKSON

This page provides the complete NPI Profile along with additional information for Christopher Jackson, a provider established in Forest Hills, New York with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1093231284 assigned on August 2017. The practitioner's primary taxonomy code is 101Y00000X with license number 008069 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1093231284
Provider Name
CHRISTOPHER JACKSON LMHC
Gender
Male
Entity Type
Individual
Location Address
104-70 QUEENS BLVD FOREST HILLS, NY 11375
Location Phone
(718) 275-6010
Mailing Address
475 E MAIN ST PATCHOGUE, NY 11772
Mailing Phone
(516) 363-2001
Is Sole Proprietor?
Yes
Enumeration Date
08-18-2017
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 475 E Main St
    Patchogue, NY 11772
    (516) 363-2001

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
008069
License State
NY
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093231284
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183432216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 4 + 3 + 2 + 2 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1093231284 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942389887MS. ADELE ROCYTE GRANT MSW
Individual
Social Worker104-70 QUEENS BLVD
FOREST HILLS, NY 11375
(718) 275-6010
1780353938 TATYANA SOLIS
Individual
Counselor (Mental Health)104-70 QUEENS BLVD FIOOR 2
FOREST HILLS, NY 11375
(718) 275-6010
1740981372CDA MEDICAL
Organization
Preventive Medicine (Public Health & General Preventive Medicine)104-70 QUEENS BLVD STE 314
QUEENS, NY 11375
(877) 358-8648

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093231284, enumerated in the NPI registry as an "individual" on August 18, 2017

The provider is located at 104-70 Queens Blvd Forest Hills, Ny 11375 and the phone number is (718) 275-6010

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on August 18, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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