MEDICARE: JENNIFER MELANIE JOYCE ACKERSON LPC, ATR-BC, ACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	221700000X	Art Therapist
3	101YP2500X	Professional Counselor	PC010555	PA

General Provider Information

NPI Number	:	1851877757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MELANIE JOYCE ACKERSON LPC, ATR-BC, ACS

Provider Business Mailing Address
First Line	:	5877 COMMERCE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3835
Country	:	US
Telephone Number	:	412-346-6962
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 BINGHAM ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1009
Country	:	US
Telephone Number	:	412-380-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	12/10/2025

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