Active NPI
Carey Lynn Jackson, MA, LPC-S
- Counselor
- Houston, TX
National Provider Identifier
1093916553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 62953
- Practice address
- 8876 Gulf Fwy
Ste 415
Houston, TX 77017-6513 - Phone
- (713) 807-1500
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 62953 | TX | Primary |
Addresses
Primary practice location
8876 Gulf Fwy
Ste 415
Houston, TX 77017-6513
Mailing address
PO Box 890008
Houston, TX 77289-0008
Phone (713) 807-1500
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62953 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ich Healthcare PA | Past | Accepting new patients | |
| Healthstar, LLP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Houston, TX
- NPI 1912190240
-
- Family Medicine Physician
- Houston, TX
- NPI 1689947111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1093916553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890008",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772890008",
"telephone_number": "713-807-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8876 GULF FWY",
"address_2": "STE 415",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770176513",
"telephone_number": "713-807-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CAREY",
"middle_name": "LYNN",
"credential": "MA, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "62953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.