Provider Type Icon

HEATHER JACKSON LMHC NPI 1053768176


NPI Information

NPI: 1053768176
Provider Name: HEATHER JACKSON, LMHC
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
107 AMAR PL STE 102
PANAMA CITY BEACH, FL
ZIP 32413
Phone: (850) 419-7736
Get Directions

Heather Jackson, LMHC is a counselor in Panama City Beach, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Heather Jackson, LMHC NPI is 1053768176. 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:

107 AMAR PL STE 102
PANAMA CITY BEACH, FL
ZIP 32413-014
Phone: (850) 419-7736
Fax: (850) 328-4010

The NPI 1053768176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 7/19/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorMH 14095FLORIDAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.