Organization Active NPI

Heather a. Jackson, PC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1093258980
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1652 Issued in NE
Legal business name
HEATHER A. JACKSON, PC
Practice address
5561 S 48TH St.
Ste 200a
Lincoln, NE 68516
Phone
(402) 975-2318
Fax
(402) 625-0321
NPI assigned
Nov 23, 2016
Last updated
Jul 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Heather Jackson, LIMHP, LPCNPI 1497095095
Title
Owner
Phone
(402) 975-2318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1652 NE Primary

Addresses

Primary practice location

5561 S 48TH St.
Ste 200a
Lincoln, NE 68516

Mailing address

5561 S 48TH St.
Ste 200a
Lincoln, NE 68516
Phone (402) 975-2318

Other identifiers 1

IdentifierTypeStateIssuer
10026626600MedicaidNE

National Provider Directory

National Provider Directory

Locations

5561 S 48th St
Ste 200A
Lincoln, NE 68516
Phone (402) 975-2318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1093258980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 S 48TH ST.",
            "address_2": "STE 200A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-975-2318",
            "fax_number": "402-625-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 S 48TH ST.",
            "address_2": "STE 200A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-975-2318",
            "fax_number": "402-625-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A. JACKSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-975-2318",
        "authorized_official_credential": "LIMHP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026626600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.