TEDRA NIKIA JACKSON
NPI 1023130176
Counselor - Mental Health in Dallas, TX

Active since April 06, 2007
3330 S LANCASTER RD, DALLAS, TX 75216(214) 371-6639 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tedra Nikia Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEDRA NIKIA JACKSON (NPI 1023130176) is an individual mental health provider in Dallas, Texas and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1023130176
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTEDRA NIKIA JACKSON
Location Address3330 S LANCASTER RDDallas, TX 75216-4531
Mailing Address3330 S Lancaster RdDallas, TX 75216-4531 · (214) 371-6639
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1023130176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3330 S LANCASTER RD, Dallas, TX 75216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
3330 S LANCASTER RD
DALLAS, TX 75216
Counselor (Mental Health)
3330 S LANCASTER RD
DALLAS, TX 75216
Case Manager/Care Coordinator
3330 S LANCASTER RD
DALLAS, TX 75216
Counselor
3330 S LANCASTER RD
DALLAS, TX 75216
Counselor (Mental Health)
3330 S LANCASTER RD
DALLAS, TX 75216
Case Manager/Care Coordinator
3330 S LANCASTER RD
DALLAS, TX 75216
Counselor (Mental Health)
3330 S LANCASTER RD
DALLAS, TX 75216
Nurse Practitioner (Family)
3330 S LANCASTER RD
DALLAS, TX 75216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tedra Jackson's NPI number?

The NPI number for Tedra Jackson is 1023130176. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Tedra Jackson located?

Tedra Jackson practices at 3330 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 371-6639.

What is Tedra Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tedra Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.