KATODRA JACKSON M.S., LPC, NCC
NPI 1184844763
Counselor - Professional in Fort Hood, TX

Active since April 26, 2007PECOS Enrolled
36000 DARNALL LOOP, FORT HOOD, TX 76544(254) 289-3468 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Jul 31, 2024, Jan 23, 2023 (3 updates tracked since 2023).

About Katodra Jackson M.s., Lpc, Ncc NPPES

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

KATODRA JACKSON M.S., LPC, NCC (NPI 1184844763) is an individual professional provider in Fort Hood, Texas, licensed in Texas (61137) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184844763
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATODRA JACKSONCredential: M.S., LPC, NCC
Location Address36000 DARNALL LOOPFort Hood, TX 76544-5095
Mailing Address3610 Rusack DrKilleen, TX 76542-6451 · (254) 289-4322
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1184844763 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 TX · 61137
36000 DARNALL LOOP, Fort Hood, TX 76544

Other Identifiers 2

Medicaid182509303TX
Medicaid182509301TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katodra Jackson M.s., Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency Medicine
36000 DARNALL LOOP, DEM BOX 31
FORT HOOD, TX 76544
General Practice
36000 DARNALL LOOP, CREDENTIALS OFFICE
FORT HOOD, TX 76544
Internal Medicine
36000 DARNALL LOOP
FORT HOOD, TX 76544
Pharmacist
36000 DARNALL LOOP
FORT HOOD, TX 76544
Pharmacist
36000 DARNALL LOOP, CRDAMC DEPARTMENT OF PHARMACY
FORT HOOD, TX 76544
Psychologist (Clinical)
36000 DARNALL LOOP, CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
Dietitian, Registered
36000 DARNALL LOOP, ATTN POPULATION HEALTH
FORT HOOD, TX 76544
Counselor (Addiction (Substance Use Disorder))
36000 DARNALL LOOP
FORT HOOD, TX 76544

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 Katodra Jackson's NPI number?

The NPI number for Katodra Jackson is 1184844763. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Katodra Jackson located?

Katodra Jackson practices at 36000 Darnall Loop, Fort Hood, TX 76544. The listed phone number is (254) 289-3468.

What is Katodra Jackson's specialty?

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

Is Katodra Jackson enrolled in Medicare?

Yes. Katodra Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Katodra Jackson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Providence Health Plan list Katodra Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katodra Jackson was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.