KATHERINE JACKSON NPI 1003295809

NPI Information

  • NPI: 1003295809
  • Provider Name: KATHERINE JACKSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 17427 W WANDERING CREEK RD
    GOODYEAR, AZ
    ZIP 85338
  • Phone: (253) 208-0756

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NPI Details

Katherine Jackson is a mental health counselor in Goodyear, AZ. Katherine Jackson NPI is 1003295809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17427 W WANDERING CREEK RD
GOODYEAR, AZ
ZIP 85338-735
Phone: (253) 208-0756

The enumeration date for this NPI number is 5/26/2015 and was last updated on 7/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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