AMY JACKSON MED COUNSELING
NPI 1609692631
Counselor - School in South Lake Tahoe, CA

Active since November 25, 2024
1100 LYONS AVE, SOUTH LAKE TAHOE, CA 96150(530) 307-4046 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Jackson Med Counseling NPPES

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

AMY JACKSON MED COUNSELING (NPI 1609692631) is an individual school provider in South Lake Tahoe, California and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1609692631
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameAMY JACKSONCredential: MED COUNSELING
Location Address1100 LYONS AVESouth Lake Tahoe, CA 96150-8252
Mailing Address1100 Lyons AveSouth Lake Tahoe, CA 96150-8252 · (530) 307-4046
Sole ProprietorNo
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 24, 2024
NPI 1609692631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1100 LYONS AVE, South Lake Tahoe, CA 96150

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation)
1100 LYONS AVE
SOUTH LAKE TAHOE, CA 96150

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 Amy Jackson's NPI number?

The NPI number for Amy Jackson is 1609692631. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Amy Jackson located?

Amy Jackson practices at 1100 Lyons Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 307-4046.

What is Amy Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Amy Jackson was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.