Octavia Mary Jackson is a Bronx, New York based counselor who is specialized as Mental Health Counselor. Active license number of Octavia Mary Jackson is 015528 for Mental Health Counselor in New York. Her current practice location is 4215 Park Ave, Bronx. Patients can book an appointment with her at 917-870-2097.
Octavia Mary Jackson is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Octavia Mary Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Octavia Mary Jackson |
| Specialization: | Mental Health Counselor |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4215 Park Ave, Bronx,
New York, 10457-6073 |
| Phone: | 917-870-2097 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1588523419 |
| NPI Enumeration Date: | 16 Jan, 2026 |
| NPI Last Update On: | 16 Jan, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Octavia Mary Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 015528 | Mental Health Counselor | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4215 Park Ave,
Bronx, New York |
| Zip: | 10457-6073 |
Patients can reach Octavia Mary Jackson at
4215 Park Ave, Bronx, New York or can
call to book an appointment on 917-870-2097.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.