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DR. KATHY LYNN JACKSON PHD, LPC
NPI 1255689337
Counselor - Professional in Shreveport, LA

Active since August 21, 2012
2829 YOUREE DR STE 1, SHREVEPORT, LA 71104(318) 588-6589 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2023, Jul 7, 2023, Jun 7, 2021 (3 updates tracked since 2021).

About Dr. Kathy Lynn Jackson Phd, Lpc NPPES

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

DR. KATHY LYNN JACKSON PHD, LPC (NPI 1255689337) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (3643) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1255689337
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. KATHY LYNN JACKSONCredential: PHD, LPC
Location Address2829 YOUREE DR STE 1Shreveport, LA 71104-3640
Mailing Address2829 Youree Dr Ste 1Shreveport, LA 71104-3640 · (318) 588-6589
Phone(318) 588-6589
Sole ProprietorYes
Enumeration DateAugust 21, 2012
Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1255689337 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 LA · 3643
2829 YOUREE DR STE 1, Shreveport, LA 71104
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Other Providers at the Same Location NPPES 3

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

AMBER NICOLE OWENS CPT
Technician, Pathology (Phlebotomy)
2829 YOUREE DR STE 1
SHREVEPORT, LA 71104
Caddo Parish (318) 617-9782
FLOURISH MENTAL & BEHAVIORAL HEALTH SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
2829 YOUREE DR STE 1
SHREVEPORT, LA 71104
Caddo Parish (318) 309-7720
MRS. MICAH BOYETT PILCHER C.P.N.P.
Nurse Practitioner (Pediatrics)
2829 YOUREE DR STE 1
SHREVEPORT, LA 71104
Caddo Parish (318) 402-0131

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 Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1255689337. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Kathy Jackson located?

Kathy Jackson practices at 2829 Youree Dr Ste 1, Shreveport, LA 71104. The listed phone number is (318) 588-6589.

What is Kathy Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathy Jackson was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.