KIMBERLY JACKSON - NPI 1811449275 - Counselor in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YS0200X and a focus in School.

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About Kimberly Jackson NPPES

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

KIMBERLY JACKSON (NPI 1811449275) is an individual school provider in Saint Louis, Missouri, licensed in Missouri (197095) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1811449275

Entity TypeIndividualFemale

Primary Taxonomy101YS0200X

Provider Legal NameKIMBERLY JACKSON

Location Address11960 WESTLINE INDUSTRIAL DR, STE 201Saint Louis, MO 63146-3209

Mailing Address1303 Andrew DrSaint Louis, MO 63122-1802 · (314) 922-6289

Phone(866) 433-9555

Sole ProprietorNo

Enumeration DateNovember 1, 2016

✔ NPI 1811449275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers

Taxonomy Code101YS0200X

License✔ Licensed in MO · 197095

11960 WESTLINE INDUSTRIAL DR, Saint Louis, MO 63146

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Other Identifiers 1

Other197095MO · Educator Id

Other Providers at the Same Location NPPES 20

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

MRS. ELIZABETH DENISE VAGO MBA,OTR/L

Occupational Therapist

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (314) 819-0480

MODENA JEAN MOLEN MA CCC SLP

Speech-Language Pathologist

11960 WESTLINE INDUSTRIAL DR, SUITE #201
SAINT LOUIS, MO 63146

St. Louis County (314) 819-0480

MR. ROBERT FRANKLIN LAUTENSCHLEGER ROBERT LAUTENSCHLEGE

Physical Therapy Assistant

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (314) 819-0480

REBECCA KAY KRIMMEL PTA

Physical Therapy Assistant

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (866) 433-9555

DANA MARIE COBLE P.T.

Physical Therapist

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (314) 819-0480

DR. JULIA ERKER OTD, OTR/L

Occupational Therapist

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (866) 433-9555

SUPPLEMENTAL HEALTH CARE

Custodial Care Facility (Adult Care Home)

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (866) 433-9555

ASHLEY STAMPEHL B.S

Occupational Therapist (Pediatrics)

11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

St. Louis County (314) 819-0480

Frequently Asked Questions

What is Kimberly Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1811449275, enumerated as an "individual" on November 01, 2016.

Where is the provider located?

The provider is located at 11960 WESTLINE INDUSTRIAL DR STE 201 SAINT LOUIS, MO 63146 and the phone number is (866) 433-9555.

What is the provider's specialty?

Counselor with taxonomy code 101YS0200X and a focus in School.

What insurance does Kimberly Jackson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.