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JACKSON T DOUGLAS LPC
NPI 1356695183
Counselor - Professional in Springfield, MO

Active since October 31, 2012
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804(417) 761-5000(417) 761-5111 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Aug 25, 2020 (2 updates tracked since 2020).

About Jackson T Douglas Lpc NPPES

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

JACKSON T DOUGLAS LPC (NPI 1356695183) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2014040178) and active in the NPI registry since October 2012. He maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1356695183
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACKSON T DOUGLASCredential: LPC
Location Address1300 E BRADFORD PKWYSpringfield, MO 65804-4264
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5111
Phone(417) 761-5000
Fax(417) 761-5111
Sole ProprietorNo
Enumeration DateOctober 31, 2012
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1356695183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2014040178
Also ListedCounselorTaxonomy 101Y00000X
1300 E BRADFORD PKWY, Springfield, MO 65804
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Secondary Practice Location 1

Location 1875 W Moreno AveColorado Springs, CO 80905-1731 · Phone (719) 572-6100

Other Providers at the Same Location NPPES 20

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

DR. CHARLES ALAN THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
MICHAEL D COTTER MS, LPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
COURTNEY ANNE JOHNSON MSW, LCSW
Social Worker (Clinical)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
JULIA MARIE HOWARD LPC
Counselor (Professional)
1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804
Greene County (417) 269-5400
MR. AARON JOIFRITA PLPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 269-5400
ROHIT SAHA MD
Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
TIFFANY A SKINNER PLPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
ALYSON N SHAW MS, LPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000

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 Jackson Douglas's NPI number?

The NPI number for Jackson Douglas is 1356695183. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Where is Jackson Douglas located?

Jackson Douglas practices at 1300 E Bradford Pkwy, Springfield, MO 65804. The listed phone number is (417) 761-5000.

What is Jackson Douglas'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 Jackson Douglas was last updated on August 22, 2022. 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.