LUKE W JACKSON LPC NPI 1376139642

NPI Information

NPI: 1376139642
Provider Name: LUKE W JACKSON, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2108 S 54TH ST STE 3
ROGERS, AR
ZIP 72758
Phone: (817) 201-5846
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Luke W Jackson, LPC is a mental health counselor in Rogers, AR. Luke W Jackson, LPC NPI is 1376139642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2108 S 54TH ST STE 3
ROGERS, AR
ZIP 72758-125
Phone: (817) 201-5846

The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/6/2022.

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
1	101YM0800X	Counselor	Mental Health	A2011175		No
2	101YP2500X	Counselor	Professional			No
3	101YM0800X	Counselor	Mental Health	P2208022	ARKANSAS	Yes

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

NPI Synchronization or Removal

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