Jordan Jackson, LPC-INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3355 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-6673

Phone

(512) 636-0104

NPI assigned

Feb 25, 2020

Last updated

Feb 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1619501004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WINECUP WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374562",
            "telephone_number": "832-517-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466673",
            "telephone_number": "512-636-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JORDAN",
        "credential": "LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nikki Jackson Drummond, CCN
• David J Jacoby, M.D.
• Melissa Orsal Jasek, PT
• Jeff Lutes Counseling & Consulting
• Mary Amanda Jelinek, PSY.D.
• Saira John, PH.D.

• Mental Health Counselor in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.