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

Active since November 01, 2016
11960 WESTLINE INDUSTRIAL DR, STE 201, SAINT LOUIS, MO 63146(866) 433-9555 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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

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.

Occupational Therapist
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR, SUITE #201
SAINT LOUIS, MO 63146
Physical Therapy Assistant
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
Physical Therapy Assistant
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
Physical Therapist
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
Custodial Care Facility (Adult Care Home)
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
Occupational Therapist (Pediatrics)
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1811449275. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146. The listed phone number is (866) 433-9555.

What is Kimberly 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 Kimberly Jackson was last updated on November 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.