KATODRA JACKSON M.S. LPC NCC NPI 1184844763

NPI Information

  • NPI: 1184844763
  • Provider Name: KATODRA JACKSON, M.S., LPC, NCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36000 DARNALL LOOP
    FORT HOOD, TX
    ZIP 76544
  • Phone: (254) 289-3468

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NPI Details

Katodra Jackson, M.S., LPC, NCC is a professional counselor in Fort Hood, TX. Katodra Jackson, M.S., LPC, NCC NPI is 1184844763. 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:

36000 DARNALL LOOP
FORT HOOD, TX
ZIP 76544-095
Phone: (254) 289-3468

The NPI 1184844763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/26/2007 and was last updated on 9/12/2025.

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
1101YP2500XCounselorProfessional61137TEXASYes

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
1182509303MEDICAIDTEXAS
2182509301MEDICAIDTEXAS

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

NPI Synchronization or Removal

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