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SARA JACKSON LSCSW
NPI 1194342436
Counselor - Addiction (Substance Use Disorder) in Kansas City, KS

Active since July 02, 2020
4810 STATE AVE, KANSAS CITY, KS 66102(816) 221-0305(816) 221-9121 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jan 9, 2025, Jul 2, 2020 (3 updates tracked since 2020).

About Sara Jackson Lscsw NPPES

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

SARA JACKSON LSCSW (NPI 1194342436) is an individual addiction (substance use disorder) provider in Kansas City, Kansas, licensed in Kansas (LCAC00802) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1194342436
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSARA JACKSONCredential: LSCSW
Location Address4810 STATE AVEKansas City, KS 66102-1748
Mailing Address7129 Pennsylvania AveKansas City, MO 64114 · (816) 589-8719
Phone(816) 221-0305
Fax(816) 221-9121
Sole ProprietorYes
Enumeration DateJuly 2, 2020
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1194342436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KS · LCAC00802
4810 STATE AVE, Kansas City, KS 66102
Open in Google Maps ↗

Other Names 1

Other Name (5)Sara Sisson

Other Providers at the Same Location NPPES 11

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

UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Clinic/Center (Community Health)
4810 STATE AVE, PROFESSIONAL SERVICES OF KU HOSPITAL
KANSAS CITY, KS 66102
Wyandotte County (913) 321-4567
SUSANNE L. WORDEN PT
Physical Therapist
4810 STATE AVE, WYANDOTTE THERAPY
KANSAS CITY, KS 66102
Wyandotte County (913) 321-4567
MRS. KARLIE OWENS
Counselor (Addiction (Substance Use Disorder))
4810 STATE AVE
KANSAS CITY, KS 66102
Wyandotte County (913) 789-0951
GARY LEE LEGLER D.O.
Family Medicine
4810 STATE AVE
KANSAS CITY, KS 66102
Wyandotte County (913) 945-9740
MS. JANET SUE BROOKS PT
Physical Therapist
4810 STATE AVE
KANSAS CITY, KS 66102
Wyandotte County (913) 321-4567
JAYHAWK PRIMARY CARE INC
Family Medicine
4810 STATE AVE, STATE AVENUE HEALTH CARE
KANSAS CITY, KS 66102
Wyandotte County (913) 945-9740
LEONARD JOHN LARSON II MD
Preventive Medicine (Occupational Medicine)
4810 STATE AVE, WYANDOTTE URGENT CARE
KANSAS CITY, KS 66102
Wyandotte County (913) 321-4567
JAYHAWK PRIMARY CARE INC
Clinic/Center (Urgent Care)
4810 STATE AVE, STATE AVENUE URGENT CARE
KANSAS CITY, KS 66102
Wyandotte County (913) 321-4567

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 Sara Jackson's NPI number?

The NPI number for Sara Jackson is 1194342436. It was assigned to this individual provider in the NPPES registry on July 2, 2020. The provider is also known as Sara Sisson.

Where is Sara Jackson located?

Sara Jackson practices at 4810 State Ave, Kansas City, KS 66102. The listed phone number is (816) 221-0305.

What is Sara Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sara Jackson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.