DR. JANISSA D JACKSON PHD
NPI 1043365620
Psychologist - Clinical Child & Adolescent in Fort Smith, AR

Active since January 24, 2007
5401 ROGERS AVE STE 201, FORT SMITH, AR 72903(479) 242-4560(479) 242-4561 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Janissa D Jackson Phd NPPES

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

DR. JANISSA D JACKSON PHD (NPI 1043365620) is an individual clinical child & adolescent provider in Fort Smith, Arkansas, licensed in Arkansas (07-01P) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1043365620
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JANISSA D JACKSONCredential: PHD
Location Address5401 ROGERS AVE STE 201Fort Smith, AR 72903-3763
Mailing Address5401 Rogers Ave Ste 201Fort Smith, AR 72903-3763 · (479) 242-4560 · Fax (479) 242-4561
Fax(479) 242-4561
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1043365620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in AR · 07-01P
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 07-01P (AR)
5401 ROGERS AVE STE 201, Fort Smith, AR 72903

Other Identifiers 1

Other5A252AR · Bluecross Blueshield

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
5401 ROGERS AVE STE 201
FORT SMITH, AR 72903
Counselor (Professional)
5401 ROGERS AVE STE 201
FORT SMITH, AR 72903
Psychologist (Clinical)
5401 ROGERS AVE STE 201
FORT SMITH, AR 72903
Psychologist (Clinical)
5401 ROGERS AVE STE 201
FORT SMITH, AR 72903
Counselor (Professional)
5401 ROGERS AVE STE 201
FORT SMITH, AR 72903

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 Janissa Jackson's NPI number?

The NPI number for Janissa Jackson is 1043365620. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Janissa Jackson located?

Janissa Jackson practices at 5401 Rogers Ave Ste 201, Fort Smith, AR 72903. The listed phone number is (479) 242-4560.

What is Janissa Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

What insurance does Janissa Jackson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Janissa Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Janissa Jackson was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.