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DAVID W JACKSON LPCC
NPI 1427280668
Counselor - Mental Health in Clovis, NM

Active since August 21, 2009
919 RENCHER ST, CLOVIS, NM 88101(575) 769-2142(575) 769-2161 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David W Jackson Lpcc NPPES

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

DAVID W JACKSON LPCC (NPI 1427280668) is an individual mental health provider in Clovis, New Mexico, licensed in New Mexico (0089191) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1427280668
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID W JACKSONCredential: LPCC
Location Address919 RENCHER STClovis, NM 88101-5858
Mailing Address919 Rencher StClovis, NM 88101-5858 · (575) 769-2142 · Fax (575) 769-2161
Phone(575) 769-2142
Fax(575) 769-2161
Sole ProprietorNo
Enumeration DateAugust 21, 2009
✔ NPI 1427280668 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 NM · 0089191
919 RENCHER ST, Clovis, NM 88101
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Other Identifiers 1

Medicaid04937261NM

Other Providers at the Same Location NPPES 2

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

NEW VISION GROUP HOME
Residential Treatment Facility, Emotionally Disturbed Children
919 RENCHER ST
CLOVIS, NM 88101
Curry County (505) 769-2142
MR. LEWIE EVAN BAKER MSW
Social Worker (Clinical)
919 RENCHER ST
CLOVIS, NM 88101
Curry County (575) 769-2142

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 David Jackson's NPI number?

The NPI number for David Jackson is 1427280668. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is David Jackson located?

David Jackson practices at 919 Rencher St, Clovis, NM 88101. The listed phone number is (575) 769-2142.

What is David 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 David Jackson was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.