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TOMMY JACKSON LAC
NPI 1164102075
Counselor in Little Rock, AR

Active since July 25, 2023
6601 W 12TH ST, LITTLE ROCK, AR 72204(501) 666-8686(501) 660-6829 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Tommy Jackson Lac NPPES

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

TOMMY JACKSON LAC (NPI 1164102075) is an individual counselor in Little Rock, Arkansas, licensed in Arkansas (A2303008) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1164102075
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTOMMY JACKSONCredential: LAC
Location Address6601 W 12TH STLittle Rock, AR 72204-1513
Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686 · Fax (501) 660-6830
Phone(501) 666-8686
Fax(501) 660-6829
Sole ProprietorNo
Enumeration DateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
✔ NPI 1164102075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AR · A2303008
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6601 W 12TH ST, Little Rock, AR 72204
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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.

MS. DORIAN LATOYA TONEY
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
CHERIE HARLESS
Counselor (Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
LAQUITA ANN CHARLES
Registered Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MARSHAE WILSON
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-6886
SCOTT WILLIAMS QBHP
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
FELICIA ONYEKWELI
Licensed Practical Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
DOMINIQUE NEAL
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
TATIANA BUSKIRK
Registered Nurse (Psychiatric/Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-6886

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 Tommy Jackson's NPI number?

The NPI number for Tommy Jackson is 1164102075. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Tommy Jackson located?

Tommy Jackson practices at 6601 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 666-8686.

What is Tommy Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tommy Jackson was last updated on July 25, 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.