PAMELA ANN JACKSON CRADC
NPI 1265948194
Counselor in Harrisonville, MO

Q: What is Pamela Jackson's NPI number?

The NPI number for Pamela Jackson is 1265948194. It was assigned to this individual provider in the NPPES registry on December 14, 2017.

Q: What is Pamela Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Jackson was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 14, 2017

106 S INDEPENDENCE ST, HARRISONVILLE, MO 64701(816) 813-7533(816) 813-7533 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Dec 14, 2017 (2 updates tracked since 2017).

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About Pamela Ann Jackson Cradc NPPES

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

PAMELA ANN JACKSON CRADC (NPI 1265948194) is an individual counselor in Harrisonville, Missouri, licensed in Missouri (7780) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1265948194

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NamePAMELA ANN JACKSONCredential: CRADC

Location Address106 S INDEPENDENCE STHarrisonville, MO 64701-2348

Mailing Address1706 New Castle DrHarrisonville, MO 64701-1364 · (816) 813-7533

Phone(816) 813-7533

Fax(816) 813-7533

Sole ProprietorYes

Enumeration DateDecember 14, 2017

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1265948194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 7780

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 9827 (MO)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

106 S INDEPENDENCE ST, Harrisonville, MO 64701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pamela Jackson's NPI number?

The NPI number for Pamela Jackson is 1265948194. It was assigned to this individual provider in the NPPES registry on December 14, 2017.

Where is Pamela Jackson located?

Pamela Jackson practices at 106 S Independence St, Harrisonville, MO 64701. The listed phone number is (816) 813-7533.

What is Pamela 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 Pamela Jackson was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.