MS. LYNDELL JACKSON LCPC
NPI 1073654034
Counselor - Mental Health in Caldwell, ID

Active since February 10, 2007
2020 BLAINE ST, CALDWELL, ID 83605(208) 880-6127(208) 455-6244 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lyndell Jackson Lcpc NPPES

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

MS. LYNDELL JACKSON LCPC (NPI 1073654034) is an individual mental health provider in Caldwell, Idaho, licensed in Idaho (LCPC234) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1073654034
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LYNDELL JACKSONCredential: LCPC
Location Address2020 BLAINE STCaldwell, ID 83605-4343
Mailing Address2020 Blaine StCaldwell, ID 83605-4343 · (208) 880-6127 · Fax (208) 455-6244
Fax(208) 455-6244
Sole ProprietorYes
Enumeration DateFebruary 10, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1073654034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LCPC234
2020 BLAINE ST, Caldwell, ID 83605

Other Identifiers 2

Other000010016363ID · Regence Blue Shield
OtherQ1109ID · Blue Cross

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
2020 BLAINE ST
CALDWELL, ID 83605

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 Lyndell Jackson's NPI number?

The NPI number for Lyndell Jackson is 1073654034. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Where is Lyndell Jackson located?

Lyndell Jackson practices at 2020 Blaine St, Caldwell, ID 83605. The listed phone number is (208) 880-6127.

What is Lyndell 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 Lyndell Jackson was last updated on July 9, 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.