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

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: August 16, 2026.

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
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

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.

Counselor (Professional)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Counselor (Mental Health)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Counselor (Professional)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Counselor (Professional)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Counselor (Professional)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Counselor (Professional)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Counselor (Professional)
10901 E WINNER RD
INDEPENDENCE, MO 64052
Pharmacist
10901 E WINNER RD
INDEPENDENCE, MO 64052

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 1821316159. It was assigned to this individual provider in the NPPES registry on May 11, 2010. The provider is also known as Ms. Kimberly Dawn Jackson Lpc.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 10901 E Winner Rd, Independence, MO 64052. The listed phone number is (816) 254-3652.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.