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JENNIFER JACKSON LPC PLLC NPI 1114221991


NPI Information

NPI: 1114221991
Provider Name: JENNIFER JACKSON, LPC, PLLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1301 W OMAHA ST
SUITE 209
RAPID CITY, SD
ZIP 57701
Phone: (605) 342-8082
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JENNIFER JACKSON, LPC, PLLC is a counselor in Rapid City, SD. 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. JENNIFER JACKSON, LPC, PLLC NPI is 1114221991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 W OMAHA ST
SUITE 209
RAPID CITY, SD
ZIP 57701-447
Phone: (605) 342-8082
Fax: (605) 341-3563

The provider's authorized official is Jennifer Louise Jackson .
The authorized official title is Owner and has the following contact phone number (605) 342-8082.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 1/7/2011.


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
1101Y00000XCounselorLPC7130SOUTH DAKOTAYes

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

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