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KRISTEN MARIE JACKSON MA, LPCC
NPI 1992385272
Counselor - Professional in Prior Lake, MN

Active since April 12, 2021
16180 HASTINGS AVE SE STE 205, PRIOR LAKE, MN 55372(952) 443-4600(952) 443-4604 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2021, Apr 12, 2021 (2 updates tracked since 2021).

About Kristen Marie Jackson Ma, Lpcc NPPES

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

KRISTEN MARIE JACKSON MA, LPCC (NPI 1992385272) is an individual professional provider in Prior Lake, Minnesota, licensed in Minnesota (CC02553) and active in the NPI registry since April 2021. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1992385272
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTEN MARIE JACKSONCredential: MA, LPCC
Location Address16180 HASTINGS AVE SE STE 205Prior Lake, MN 55372-9228
Mailing AddressPo Box 51Victoria, MN 55386-0051 · (952) 443-4600 · Fax (952) 443-4604
Phone(952) 443-4600
Fax(952) 443-4604
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1992385272 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 MN · CC02553
16180 HASTINGS AVE SE STE 205, Prior Lake, MN 55372
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15910 Shingle Creek PkwyBrooklyn Center, MN 55430-2322 · Phone (763) 569-5228 · Fax (763) 569-5240
Location 21435 White Oak Dr Ste 200Chaska, MN 55318-2567 · Phone (952) 443-4600 · Fax (952) 443-4604
Location 31772 Stieger Lake Ln Ste 220Victoria, MN 55386-7723 · Phone (952) 443-4600 · Fax (952) 443-4604
Location 415265 Carrousel Way Ste 100Rosemount, MN 55068-1760 · Phone (952) 443-4600 · Fax (952) 443-4604

Other Providers at the Same Location NPPES 13

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

IA XIONG X TOYED PH.D.
Psychologist (Counseling)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
CHRISTOPHER BARNETT KNUDSVIG
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
MRS. ERIKA MARIE DAVIS LMFT
Marriage & Family Therapist
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
MS. BARBARA CLARE MS, LMFT
Marriage & Family Therapist
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
DR. JARED S SPENCER
Psychologist (Clinical)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
KELSEY ROSAMOND MALMSTEDT LPCC, MS, NCC
Counselor (Mental Health)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
ZACHARY THOMAS KAHMEYER M.A., LPCC
Counselor (Professional)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
DR. ROBERT CHAPMAN MARSHALL JR. PSYD, LP
Psychologist (Clinical)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600

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 Kristen Jackson's NPI number?

The NPI number for Kristen Jackson is 1992385272. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Kristen Jackson located?

Kristen Jackson practices at 16180 Hastings Ave SE Ste 205, Prior Lake, MN 55372. The listed phone number is (952) 443-4600.

What is Kristen 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 Kristen Jackson was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.