THERESIA RENE JACKSON LMHC NPI 1649813619

NPI Information

  • NPI: 1649813619
  • Provider Name: THERESIA RENE JACKSON, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6460 NW 67TH TER
    OCALA, FL
    ZIP 34482
  • Phone: (352) 875-1179

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NPI Details

Theresia Rene Jackson, LMHC is a mental health counselor in Ocala, FL. Theresia Rene Jackson, LMHC NPI is 1649813619. 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:

6460 NW 67TH TER
OCALA, FL
ZIP 34482-130
Phone: (352) 875-1179

The enumeration date for this NPI number is 10/23/2019 and was last updated on 10/23/2019.

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
1101YM0800XCounselorMental HealthMI16018FLORIDAYes

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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