DEANNA NICOLE JACKSON
NPI 1710831342
Counselor - Professional in Johnson City, TN

Q: What is Deanna Jackson's NPI number?

The NPI number for Deanna Jackson is 1710831342. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Q: What is Deanna Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Jackson was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 23, 2026

2112 N ROAN ST, JOHNSON CITY, TN 37601(423) 202-7426 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deanna Nicole Jackson NPPES

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

DEANNA NICOLE JACKSON (NPI 1710831342) is an individual professional provider in Johnson City, Tennessee, licensed in Tennessee (8655) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1710831342

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDEANNA NICOLE JACKSON

Location Address2112 N ROAN STJohnson City, TN 37601-2519

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (865) 588-3173

Phone(423) 202-7426

Sole ProprietorNo

Enumeration DateFebruary 23, 2026

Last NPPES UpdateApril 23, 2026

NPPES CertifiedApril 23, 2026

✔ NPI 1710831342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 8655

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2112 N ROAN ST, Johnson City, TN 37601

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Other Providers at the Same Location NPPES

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

DR TEDD STEPHENS EDD

Psychologist

2112 N ROAN ST, 6TH FL
JOHNSON CITY, TN 37601

Washington County (423) 928-1379

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 Deanna Jackson's NPI number?

The NPI number for Deanna Jackson is 1710831342. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Deanna Jackson located?

Deanna Jackson practices at 2112 N Roan St, Johnson City, TN 37601. The listed phone number is (423) 202-7426.

What is Deanna 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 Deanna Jackson was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.