MS. KIMBERLY DAWN JACKSON LPC
NPI 1821316159
Counselor - Professional in Independence, MO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since May 11, 2010

10901 E WINNER RD, INDEPENDENCE, MO 64052(816) 254-3652(816) 254-9243 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Kimberly Dawn Jackson Lpc NPPES

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

MS. KIMBERLY DAWN JACKSON LPC (NPI 1821316159) is an individual professional provider in Independence, Missouri, licensed in Missouri (2009036113) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1821316159

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. KIMBERLY DAWN JACKSONCredential: LPC

Location Address10901 E WINNER RDIndependence, MO 64052-3755

Mailing Address10901 E Winner RdIndependence, MO 64052-3755 · (816) 254-3652 · Fax (816) 254-9243

Phone(816) 254-3652

Fax(816) 254-9243

Sole ProprietorNo

Enumeration DateMay 11, 2010

✔ NPI 1821316159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2009036113

10901 E WINNER RD, Independence, MO 64052

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Other Names 1

Former Name (1)Ms. Kimberly Dawn Jackson Lpc

Other Providers at the Same Location NPPES 10

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

MS. DAVALENE J. WILBANKS LPC

Counselor (Professional)