MALLORY SUE JACKSON LPC-A, CSC
NPI 1386513984
Counselor - Professional in Gilmer, TX

Active since November 03, 2025
359 N CYPRESS ST STE 102, GILMER, TX 75644(903) 961-6501 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Sue Jackson Lpc-a, Csc NPPES

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

MALLORY SUE JACKSON LPC-A, CSC (NPI 1386513984) is an individual professional provider in Gilmer, Texas, licensed in Texas (98631) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1386513984
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMALLORY SUE JACKSONCredential: LPC-A, CSC
Location Address359 N CYPRESS ST STE 102Gilmer, TX 75644-2348
Mailing Address1498 W Liberty RdHarleton, TX 75651-3726 · (903) 241-1272
Sole ProprietorNo
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 2, 2025
NPI 1386513984 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 TX · 98631
359 N CYPRESS ST STE 102, Gilmer, TX 75644

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
359 N CYPRESS ST STE 102
GILMER, TX 75644

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 Mallory Jackson's NPI number?

The NPI number for Mallory Jackson is 1386513984. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Mallory Jackson located?

Mallory Jackson practices at 359 N Cypress St Ste 102, Gilmer, TX 75644. The listed phone number is (903) 961-6501.

What is Mallory 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 Mallory Jackson was last updated on November 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.