MS. LYNDELL JACKSON LCPC NPI 1073654034

NPI Information

  • NPI: 1073654034
  • Provider Name: MS. LYNDELL JACKSON, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2020 BLAINE ST
    CALDWELL, ID
    ZIP 83605
  • Phone: (208) 880-6127

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NPI Details

MS. Lyndell Jackson, LCPC is a mental health counselor in Caldwell, ID. MS. Lyndell Jackson, LCPC NPI is 1073654034. 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:

2020 BLAINE ST
CALDWELL, ID
ZIP 83605-343
Phone: (208) 880-6127
Fax: (208) 455-6244

The enumeration date for this NPI number is 2/10/2007 and was last updated on 7/9/2007.

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 HealthLCPC234IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010016363OTHERIDAHOREGENCE BLUE SHIELD
2Q1109OTHERIDAHOBLUE CROSS

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: 3/30/2025

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