Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1255386926. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

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: August 16, 2026.

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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

Phone(219) 866-5141

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

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