DR. KATHY LYNN JACKSON PHD LPC NPI 1255689337

NPI Information

  • NPI: 1255689337
  • Provider Name: DR. KATHY LYNN JACKSON, PHD, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2829 YOUREE DR STE 1
    SHREVEPORT, LA
    ZIP 71104
  • Phone: (318) 588-6589

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NPI Details

DR. Kathy Lynn Jackson, PHD, LPC is a professional counselor in Shreveport, LA. DR. Kathy Lynn Jackson, PHD, LPC NPI is 1255689337. 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:

2829 YOUREE DR STE 1
SHREVEPORT, LA
ZIP 71104-640
Phone: (318) 588-6589

The enumeration date for this NPI number is 8/21/2012 and was last updated on 7/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional3643LOUISIANAYes

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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