Active NPI
McKaley Jackson, LPC
- Mental Health Counselor
- Lubbock, TX
National Provider Identifier
1013615608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 89026
- Practice address
- 6442 98TH St Ste 300
Lubbock, TX 79424-5470 - Phone
- (806) 853-7639
- NPI assigned
- Feb 22, 2023
- Last updated
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 89026 | TX | Primary |
Addresses
Primary practice location
6442 98TH St Ste 300
Lubbock, TX 79424-5470
Mailing address
6442 98TH St Ste 300
Lubbock, TX 79424-5470
Phone (806) 853-7639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89026 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1013615608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6442 98TH ST STE 300",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794245470",
"telephone_number": "806-853-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6442 98TH ST STE 300",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794245470",
"telephone_number": "806-853-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MCKALEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "89026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.