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MRS. LISA JACKSON LSW
NPI 1265603500
Counselor - Mental Health in Coal Grove, OH

Active since March 14, 2008
715 LANE ST, COAL GROVE, OH 45638(740) 355-8606(740) 353-1662 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Jackson Lsw NPPES

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

MRS. LISA JACKSON LSW (NPI 1265603500) is an individual mental health provider in Coal Grove, Ohio, licensed in Ohio (S-0015848) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1265603500
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LISA JACKSONCredential: LSW
Location Address715 LANE STCoal Grove, OH 45638-3161
Mailing AddressPo Box 1507Portsmouth, OH 45662 · (740) 355-8606 · Fax (740) 353-1662
Phone(740) 355-8606
Fax(740) 353-1662
Sole ProprietorNo
Enumeration DateMarch 14, 2008
✔ NPI 1265603500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · S-0015848
715 LANE ST, Coal Grove, OH 45638
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Other Names 1

Former Name (1)Mrs. Lisa Jackson Lsw

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.

SHAWNEE MENTAL HEALTH CENTER, INC.
Clinic/Center (Rural Health)
715 LANE ST
COAL GROVE, OH 45638
Lawrence County (740) 533-6206
MRS. GEORGANN C HOLBROOK LSW
Counselor (Mental Health)
715 LANE ST
COAL GROVE, OH 45638
Lawrence County (740) 355-8606
SHAWNEE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
715 LANE ST
COAL GROVE, OH 45638
Lawrence County (740) 533-6280

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1265603500. It was assigned to this individual provider in the NPPES registry on March 14, 2008. The provider is also known as Mrs. Lisa Jackson Lsw.

Where is Lisa Jackson located?

Lisa Jackson practices at 715 Lane St, Coal Grove, OH 45638. The listed phone number is (740) 355-8606.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.