Heather Jackson, Ms, LMHC, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH 14095 Issued in FL

Legal business name

HEATHER JACKSON, MS, LMHC, LLC

Practice address

256 Carson Oaks LN
Santa Rosa Beach, FL 32459-7149

Phone

(850) 974-1793

NPI assigned

May 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Jackson, LHMCNPI 1053768176

Title

President

Phone

(850) 974-1793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Jackson, LMHC

  • Counselor
  • Panama City Beach, FL
  • NPI 1053768176
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1013364132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CARSON OAKS LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CARSON OAKS LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597149",
            "telephone_number": "850-974-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER JACKSON, MS, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-974-1793",
        "authorized_official_credential": "LHMC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH 14095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hannon, PT
• Lloyd Harris, PT
• Rebecca Dier Hart, LMHC
• Shannon Alison Hartman-Wilson, MA, LMFT,
• Mose Sim Hayes III, MD
• Juliana Hernandez
• Perry D Hight, MD
• Heather Marie Hilty, DO
• Ngoc Huong Helen Ho
• Keyana L Hobdy, PMHNP

• Counselor in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.