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HOLLY SUZANNE JACKSON
NPI 1922596220
Counselor in Owensboro, KY

Active since April 23, 2018
1100 WALNUT ST, OWENSBORO, KY 42301(270) 689-6500 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Suzanne Jackson NPPES

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

HOLLY SUZANNE JACKSON (NPI 1922596220) is an individual counselor in Owensboro, Kentucky, licensed in Kentucky (3872) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1922596220
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameHOLLY SUZANNE JACKSON
Location Address1100 WALNUT STOwensboro, KY 42301-2956
Mailing AddressPo Box 1637Owensboro, KY 42302-1637 · (270) 689-6500
Phone(270) 689-6500
Sole ProprietorNo
Enumeration DateApril 23, 2018
✔ NPI 1922596220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in KY · 3872
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1100 WALNUT ST, Owensboro, KY 42301
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Other Identifiers 1

Medicaid3827KY

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.

MALLORY ROSE LUTES
Counselor
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6681
SANDRA JEWELL-LATTA LCSW
Social Worker (Clinical)
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6500
BEHAVIORAL HEALTHCARE SERVICES
Community/Behavioral Health
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6500
MS. JULIE A STALLINGS MA
Counselor
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6681
MR. MICHAEL HUGH FULKERSON MAE, LPCC
Counselor (Professional)
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6681
CHERYL ELDER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6500
DR. MAE LYNN SPAHR LPCC
Counselor
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6651
KRYSTAL SANDOVAL LMHC
Counselor
1100 WALNUT ST
OWENSBORO, KY 42301
Daviess County (270) 689-6500

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 Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1922596220. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Holly Jackson located?

Holly Jackson practices at 1100 Walnut St, Owensboro, KY 42301. The listed phone number is (270) 689-6500.

What is Holly Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Holly Jackson was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.