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SHELLEY JACKSON
NPI 1205367877
Counselor in Malvern, AR

Active since March 24, 2017
1519 E PAGE AVE, MALVERN, AR 72104(501) 337-5600(501) 337-5603 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shelley Jackson NPPES

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

SHELLEY JACKSON (NPI 1205367877) is an individual counselor in Malvern, Arkansas and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1205367877
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHELLEY JACKSON
Location Address1519 E PAGE AVEMalvern, AR 72104-4521
Mailing Address602 N Walton BlvdBentonville, AR 72712-4576 · (479) 464-1060 · Fax (479) 271-6307
Phone(501) 337-5600
Fax(501) 337-5603
Sole ProprietorNo
Enumeration DateMarch 24, 2017
✔ NPI 1205367877 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.
1519 E PAGE AVE, Malvern, AR 72104
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Other Providers at the Same Location NPPES 12

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

JASON ENGLE
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
DAYSPRING SERVICES OF ARKANSAS LLC
Community/Behavioral Health
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
LADONNA MITCHELL
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
MONICA HEATH
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
CHINNETHA ERBY
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
CHRISTINA CANTRELL
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
MELLISA L SPARKS AT
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600
TERRI MAYS
Counselor
1519 E PAGE AVE
MALVERN, AR 72104
Hot Spring County (501) 337-5600

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 Shelley Jackson's NPI number?

The NPI number for Shelley Jackson is 1205367877. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Shelley Jackson located?

Shelley Jackson practices at 1519 E Page Ave, Malvern, AR 72104. The listed phone number is (501) 337-5600.

What is Shelley 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 Shelley Jackson was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.