KIMBERLY JACKSON – Mental Health Counselor, NPI 1275934887

Mental Health Counselor

KIMBERLY JACKSON is a healthcare provider. based in Wilmington, Delaware. specializing in Mental Health Counselor. They hold a License No. Q1-0001275 (DE). The NPI Number for KIMBERLY JACKSON is 1275934887

Main info

Female

19 Years Of Experience

Accepts Medicare Assignment

Name

KIMBERLY JACKSON

NPI

1275934887

Phone

(302) 388-5514

Address

213 BARRETT ST

Enumeration Date

15 September 2014

Last Update Date

15 September 2014

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3024943397

Graduation Year

2007 (19 years ago)

PAC ID

4486077930

Group Practice PAC ID

1456695931

Professional Enrollment ID

I20200701000427

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY JACKSON

213 BARRETT ST
WILMINGTON, DE 198022004
Phone: (302) 388-5514
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1456695931View full group profile

Name	Specialty	State
WALTER HOMSEY	-	DE
DANIELLE CHARLENE MANDUJANO (MSW, LCSW)	-	DE

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY JACKSON?

KIMBERLY JACKSON — NPI 1275934887 — is the standard way to identify this listing.

Can I rely on KIMBERLY JACKSON being an active provider?

As of the registry snapshot, KIMBERLY JACKSON is marked active.

What taxonomy line describes KIMBERLY JACKSON?

For research purposes, treat KIMBERLY JACKSON as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for KIMBERLY JACKSON?

KIMBERLY JACKSON's geographic hint is Wilmington, Delaware in our summary view.

How many locations tie to this NPI?

2 practice locations appear in the available data.