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MISS TAKIRA C. JACKSON LAC
NPI 1720709140
Counselor in Phoenix, AZ

Active since September 05, 2022
14413 S 47TH PL, PHOENIX, AZ 85044(716) 400-2465 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Takira C. Jackson Lac NPPES

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

MISS TAKIRA C. JACKSON LAC (NPI 1720709140) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LAC-21216) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1720709140
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMISS TAKIRA C. JACKSONCredential: LAC
Location Address14413 S 47TH PLPhoenix, AZ 85044-6215
Mailing Address14413 S 47th PlPhoenix, AZ 85044-6215 · (716) 400-2465
Phone(716) 400-2465
Sole ProprietorYes
Enumeration DateSeptember 5, 2022
NPPES CertifiedSeptember 5, 2022
✔ NPI 1720709140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LAC-21216
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14413 S 47TH PL, Phoenix, AZ 85044
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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 Takira Jackson's NPI number?

The NPI number for Takira Jackson is 1720709140. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Takira Jackson located?

Takira Jackson practices at 14413 S 47th Pl, Phoenix, AZ 85044. The listed phone number is (716) 400-2465.

What is Takira Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Takira Jackson was last updated on September 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.