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LISA KATHRYN JACKSON LPCC
NPI 1063548709
Counselor - Professional in Albuquerque, NM

Active since February 26, 2007
3025 FLORIDA ST NE, ALBUQUERQUE, NM 87110(505) 417-6744 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Kathryn Jackson Lpcc NPPES

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

LISA KATHRYN JACKSON LPCC (NPI 1063548709) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (0124141) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1063548709
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA KATHRYN JACKSONCredential: LPCC
Location Address3025 FLORIDA ST NEAlbuquerque, NM 87110-2614
Mailing Address4312 Carlisle Blvd NeAlbuquerque, NM 87107-4811 · (505) 323-3785
Phone(505) 417-6744
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1063548709 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 NM · 0124141
3025 FLORIDA ST NE, Albuquerque, NM 87110
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Other Providers at the Same Location NPPES

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

MARY ELLEN O'LEARY M.A., L.P.C.C.
Counselor (Mental Health)
3025 FLORIDA ST NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 720-5262

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1063548709. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 3025 Florida St NE, Albuquerque, NM 87110. The listed phone number is (505) 417-6744.

What is Lisa 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 Lisa Jackson was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.