Tamara L Jackson, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-21664 Issued in AZ

Practice address

1250 W Washington St
Tempe, AZ 85288-1697

Phone

(480) 200-4929

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1306600416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42586 W MICHAELS DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851389317",
            "telephone_number": "480-200-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W WASHINGTON ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881697",
            "telephone_number": "480-200-4929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42586 W Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851389317",
            "country_code": "US",
            "telephone_number": "480-200-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-21664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Somal, M.D. Anesthesia, PLLC
• Lois Marie Jablonski
• Ava Rose Jackson-Bourne
• Marvin Blane Jackson, DDS
• Stephanie Ann Jackson, MSW
• Zipporah Hezekiah Jackson
• Carly Jacobs, MT-BC
• Daniel Aaron Jacobs, M.D.
• Jasmyn Jache Jacobs, RBT
• Theresa A Jacobsen, NP

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.