Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. LISA ANN JACKSON MA CCC SLP
NPI 1255386926
Speech-Language Pathologist in Rensselaer, IN

Active since May 23, 2006
1104 EAST GRACE STREET, RENSSELAER, IN 47978(219) 866-5141(219) 866-3234 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Ann Jackson Ma Ccc Slp NPPES

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

MRS. LISA ANN JACKSON MA CCC SLP (NPI 1255386926) is an individual speech-language pathologist provider in Rensselaer, Indiana, licensed in Indiana (22002369A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1255386926
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA ANN JACKSONCredential: MA CCC SLP
Location Address1104 EAST GRACE STREETRensselaer, IN 47978-3211
Mailing Address1104 East Grace StreetRensselaer, IN 47978-3211 · (219) 866-5141 · Fax (219) 866-3234
Fax(219) 866-3234
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1255386926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in IN · 22002369A
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1104 EAST GRACE STREET, Rensselaer, IN 47978

Other Providers at the Same Location NPPES 10

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

Specialist/Technologist (Athletic Trainer)
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapy Assistant
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapist
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Speech-Language Pathologist
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapist
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Specialist/Technologist (Athletic Trainer)
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Occupational Therapy Assistant
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978
Physical Therapist
1104 EAST GRACE STREET, JASPER COUNTY HOSPITAL
RENSSELAER, IN 47978

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255386926, enumerated as an "individual" on May 23, 2006.

The provider is located at 1104 EAST GRACE STREET RENSSELAER, IN 47978 and the phone number is (219) 866-5141.

Speech-Language Pathologist with taxonomy code 235Z00000X.