Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr Ulysses Jackson Licensed Mental Health Counseling PLLC

Organization Mental Health Counselor · NPI 1861112336

Dr Ulysses Jackson Licensed Mental Health Counseling PLLC provides Mental Health Counselor services in Deer Park, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

89 Washington Ave
Deer Park, NY 11729-6917
Phone: (631) 767-9294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1861112336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ulysses Jackson — Owner · (631) 767-9294
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022
Mailing address89 Washington Ave, Deer Park, NY 11729-6917

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