AMY JACKSON MED COUNSELING NPI 1609692631

NPI Information

  • NPI: 1609692631
  • Provider Name: AMY JACKSON, MED COUNSELING
  • Classification: Counselor - 101YS0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 1100 LYONS AVE
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 307-4046

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NPI Details

Amy Jackson, MED COUNSELING is a school counselor in South Lake Tahoe, CA. Amy Jackson, MED COUNSELING NPI is 1609692631. 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:

1100 LYONS AVE
SOUTH LAKE TAHOE, CA
ZIP 96150-252
Phone: (530) 307-4046

The enumeration date for this NPI number is 11/25/2024 and was last updated on 11/25/2024.

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
1101YS0200XCounselorSchoolCALIFORNIAYes

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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