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DOROTHY JACKSON
NPI 1174189773
Counselor in Lake City, FL

Active since May 20, 2019
439 SW MICHIGAN ST, LAKE CITY, FL 32025(352) 374-5600 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dorothy Jackson NPPES

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

DOROTHY JACKSON (NPI 1174189773) is an individual counselor in Lake City, Florida and active in the NPI registry since May 2019. She maintains a secondary practice location in Starke.

NPPES Registry Identity

NPI1174189773
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDOROTHY JACKSON
Location Address439 SW MICHIGAN STLake City, FL 32025-0440
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600
Phone(352) 374-5600
Sole ProprietorNo
Enumeration DateMay 20, 2019
✔ NPI 1174189773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
439 SW MICHIGAN ST, Lake City, FL 32025
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Secondary Practice Location 1

Location 1945 Grand StStarke, FL 32091-1821 · Phone (352) 374-5600

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.

DONNEISHA S LUBIN
Nurse's Aide
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (386) 487-0800
DARCY PARE LMHC
Counselor (Mental Health)
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (352) 374-5600
TROY L SHEPPARD
Nurse's Aide
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (352) 374-5600
BETHANNE MCCARRON
Counselor (Mental Health)
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (352) 374-5600
MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Community Based Residential Treatment Facility, Mental Illness
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (386) 487-0800
DAMIA KEONNA LEWIS
Nurse's Aide
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (386) 487-0800
MARILYN HAMM
Counselor (Mental Health)
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (386) 487-0800
AMY ALEXANDER
Nurse's Aide
439 SW MICHIGAN ST
LAKE CITY, FL 32025
Columbia County (352) 374-5600

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 Dorothy Jackson's NPI number?

The NPI number for Dorothy Jackson is 1174189773. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Dorothy Jackson located?

Dorothy Jackson practices at 439 SW Michigan St, Lake City, FL 32025. The listed phone number is (352) 374-5600.

What is Dorothy 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 Dorothy Jackson was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.