NICOLE L JACKSON LPC
NPI 1053745521
Counselor - Professional in Saint Louis, MO

Active since September 02, 2013
10922 SCHUETZ RD, SAINT LOUIS, MO 63146(314) 441-2737 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, May 21, 2020, Jan 29, 2020 (3 updates tracked since 2020).

About Nicole L Jackson Lpc NPPES

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

NICOLE L JACKSON LPC (NPI 1053745521) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2013023409) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1053745521
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE L JACKSONCredential: LPC
Location Address10922 SCHUETZ RDSaint Louis, MO 63146-5704
Mailing Address10922 Schuetz RdSaint Louis, MO 63146-5704 · (314) 441-2737
Sole ProprietorYes
Enumeration DateSeptember 2, 2013
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1053745521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2013023409
10922 SCHUETZ RD, Saint Louis, MO 63146

Other Identifiers 1

Medicaid490048738MO

Accepted Insurance

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.

Counselor (Mental Health)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Counselor (Mental Health)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Counselor (Mental Health)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Counselor (Professional)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Social Worker (Clinical)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Social Worker (Clinical)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Counselor (Professional)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146
Counselor (Mental Health)
10922 SCHUETZ RD
SAINT LOUIS, MO 63146

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1053745521. It was assigned to this individual provider in the NPPES registry on September 2, 2013.

Where is Nicole Jackson located?

Nicole Jackson practices at 10922 Schuetz Rd, Saint Louis, MO 63146. The listed phone number is (314) 441-2737.

What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Nicole Jackson accept?

Health plans from UnitedHealthcare list Nicole 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 Nicole Jackson was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.