LAVONNE JACKSON
NPI 1316576937
Counselor - Mental Health in Clearwater, FL

Q: What is Lavonne Jackson's NPI number?

The NPI number for Lavonne Jackson is 1316576937. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Lavonne Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lavonne Jackson was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 06, 2020

622 S BETTY LN APT 2, CLEARWATER, FL 33756(757) 769-9056 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lavonne Jackson NPPES

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

LAVONNE JACKSON (NPI 1316576937) is an individual mental health provider in Clearwater, Florida, licensed in Florida (18659) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1316576937

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLAVONNE JACKSON

Location Address622 S BETTY LN APT 2Clearwater, FL 33756-6080

Mailing AddressPo Box 7215Clearwater, FL 33758-7215 · (757) 769-9056

Phone(757) 769-9056

Sole ProprietorNo

Enumeration DateApril 6, 2020

NPPES CertifiedApril 6, 2020

✔ NPI 1316576937 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 FL · 18659

622 S BETTY LN APT 2, Clearwater, FL 33756

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Other Identifiers 1

Other18659FL · Register Mental Health Counselor Inter

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 Lavonne Jackson's NPI number?

The NPI number for Lavonne Jackson is 1316576937. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Lavonne Jackson located?

Lavonne Jackson practices at 622 S Betty Ln Apt 2, Clearwater, FL 33756. The listed phone number is (757) 769-9056.

What is Lavonne 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 Lavonne Jackson was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.