JACKSON PSYCHOTHERAPY, LLC
NPI 1578064861
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lawrence, KS

Active since February 22, 2018
901 KENTUCKY ST STE 306, LAWRENCE, KS 66044(816) 377-7398(816) 873-1364 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Psychotherapy, Llc NPPES

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

JACKSON PSYCHOTHERAPY, LLC (NPI 1578064861) is a healthcare organization registered as a mental health (including community mental health center) in Lawrence, Kansas and active in the NPI registry since February 2018. The organization lists Reginald C. Jackson, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1578064861
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJACKSON PSYCHOTHERAPY, LLC
Location Address901 KENTUCKY ST STE 306Lawrence, KS 66044-2858
Mailing Address901 Kentucky St Ste 306Lawrence, KS 66044-2858 · (816) 377-7398 · Fax (816) 377-7398
Fax(816) 873-1364
Organization SubpartNo
Authorized OfficialReginald C. JacksonOwner/psychotherapist · (816) 377-7398
Enumeration DateFebruary 22, 2018
NPI 1578064861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in KS · 4352
901 KENTUCKY ST STE 306, Lawrence, KS 66044

Other Identifiers 4

Other4352KS · Bcbs
Medicaid4352KS
Other2015021883MO · Bcbs Of Kansas City
Medicaid2015021883MO

Other Providers at the Same Location NPPES 9

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

Social Worker
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker (Clinical)
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker (Clinical)
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker (Clinical)
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044
Social Worker (Clinical)
901 KENTUCKY ST STE 306
LAWRENCE, KS 66044

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 Psychotherapy, LLC's NPI number?

The NPI number for Jackson Psychotherapy, LLC is 1578064861. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Jackson Psychotherapy, LLC located?

Jackson Psychotherapy, LLC is located at 901 Kentucky St Ste 306, Lawrence, KS 66044. The listed phone number is (816) 377-7398.

What is Jackson Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jackson Psychotherapy, LLC was last updated on February 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.