1. Home
  2. Directory
  3. Delaware
  4. Dover
  5. Counselor
  6. NPI Profile

TYRA JACKSON
NPI 1770222465
Counselor - Mental Health in Dover, DE

Active since June 01, 2022
8 THE GRN STE 12921, DOVER, DE 19901(302) 213-6158 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tyra Jackson NPPES

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

TYRA JACKSON (NPI 1770222465) is an individual mental health provider in Dover, Delaware, licensed in Delaware (AC-0010351) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1770222465
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYRA JACKSON
Location Address8 THE GRN STE 12921Dover, DE 19901-3618
Mailing Address8 The Grn Ste 12921Dover, DE 19901-3618 · (302) 213-6158
Phone(302) 213-6158
Sole ProprietorNo
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1770222465 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 DE · AC-0010351
8 THE GRN STE 12921, Dover, DE 19901
Open in Google Maps ↗

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.

JOY BELCHER MSW, LMSW
Social Worker
8 THE GRN STE 12921
DOVER, DE 19901
Kent County (302) 213-6158
MRS. ESMERALDA EICHLER LMSW
Social Worker (Clinical)
8 THE GRN STE 12921
DOVER, DE 19901
Kent County (302) 213-6153

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 Tyra Jackson's NPI number?

The NPI number for Tyra Jackson is 1770222465. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Tyra Jackson located?

Tyra Jackson practices at 8 The Grn Ste 12921, Dover, DE 19901. The listed phone number is (302) 213-6158.

What is Tyra 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 Tyra Jackson was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.