SVETLANA JACKSON LAC
NPI 1063101855
Counselor - Professional in Rogers, AR

Active since May 05, 2023
5507 W WALSH LN STE 201, ROGERS, AR 72758(479) 595-0333 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Svetlana Jackson Lac NPPES

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

SVETLANA JACKSON LAC (NPI 1063101855) is an individual professional provider in Rogers, Arkansas, licensed in Arkansas (A2305001) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1063101855
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSVETLANA JACKSONCredential: LAC
Location Address5507 W WALSH LN STE 201Rogers, AR 72758-8995
Mailing Address400 Ne Royce LoopBentonville, AR 72712-3352
Sole ProprietorNo
Enumeration DateMay 5, 2023
NPPES CertifiedMay 5, 2023
NPI 1063101855 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 AR · A2305001
5507 W WALSH LN STE 201, Rogers, AR 72758

Other Providers at the Same Location NPPES 6

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

Counselor
5507 W WALSH LN STE 201
ROGERS, AR 72758
Occupational Therapy Assistant
5507 W WALSH LN STE 201
ROGERS, AR 72758
Nurse Practitioner (Psychiatric/Mental Health)
5507 W WALSH LN STE 201
ROGERS, AR 72758
Counselor
5507 W WALSH LN STE 201
ROGERS, AR 72758
Social Worker
5507 W WALSH LN STE 201
ROGERS, AR 72758
Counselor (Mental Health)
5507 W WALSH LN STE 201
ROGERS, AR 72758

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 Svetlana Jackson's NPI number?

The NPI number for Svetlana Jackson is 1063101855. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Svetlana Jackson located?

Svetlana Jackson practices at 5507 W Walsh Ln Ste 201, Rogers, AR 72758. The listed phone number is (479) 595-0333.

What is Svetlana Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Svetlana Jackson was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.