MARY JACKSON LPC TLAC NPI 1184009367

NPI Information

  • NPI: 1184009367
  • Provider Name: MARY JACKSON, LPC, TLAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1201 WAKARUSA DR
    STE E222
    LAWRENCE, KS
    ZIP 66049
  • Phone: (785) 843-5483

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NPI Details

Mary Jackson, LPC, TLAC is a mental health counselor in Lawrence, KS. Mary Jackson, LPC, TLAC NPI is 1184009367. 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:

1201 WAKARUSA DR
STE E222
LAWRENCE, KS
ZIP 66049-882
Phone: (785) 843-5483
Fax: (785) 841-5433

The enumeration date for this NPI number is 7/29/2015 and was last updated on 3/5/2022.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)0730KANSASNo
2101YM0800XCounselorMental Health2738KANSASYes

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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