National Provider Identifier
Shanika Jackson
Shanika Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Williamsville, NY and a listed phone number of (716) 424-7335.
Profile Overview
- NPI
- 1356125157
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 22, 2023
- Last Updated
- March 21, 2024
Practice Location
- 330 Hunters Ln
- Williamsville, NY 14221-3319
Phone: (716) 424-7335
Mailing Address
- 484 Fruitwood Ter
- Williamsville, NY 14221-1910
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Home Health Agency (251E00000X)
Full Record
- NPI
- 1356125157
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Shanika
- Mailing Street Address
- 484 Fruitwood Ter
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-1910
- Mailing Country
- US
- Mailing Phone
- (716) 424-7335
- Practice Street Address
- 330 Hunters Ln
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3319
- Practice Country
- US
- Practice Phone
- (716) 424-7335
- Enumeration Date
- August 22, 2023
- Last Updated
- March 21, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- March 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X), Home Health Agency (251E00000X)