Active NPI
Jackson Therapy Collective (Formerly Talia Jackson Psychotherapy Services)
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1780536318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JACKSON THERAPY COLLECTIVE (FORMERLY TALIA JACKSON PSYCHOTHERAPY SERVICES)
- Practice address
- 2600 Wayzata Blvd
Minneapolis, MN 55405-2123 - Phone
- (612) 444-1745
- Fax
- (612) 484-4557
- NPI assigned
- Feb 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Talia Amo Jackson, PSY.D., LP
- Title
- Licensed Psychologist, Owner
- Phone
- (612) 444-1745
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2600 Wayzata Blvd
Minneapolis, MN 55405-2123
Mailing address
2600 Wayzata Blvd
Minneapolis, MN 55405-2123
Phone (612) 444-1745
National Provider Directory
National Provider Directory- Tax ID family
- Jackson Therapy Collective Formerly Talia Jackson Psychotherapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1134068836
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771027200000",
"number": "1780536318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WAYZATA BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052123",
"telephone_number": "612-444-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 WAYZATA BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052123",
"telephone_number": "612-444-1745",
"fax_number": "612-484-4557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON THERAPY COLLECTIVE (FORMERLY TALIA JACKSON PSYCHOTHERAPY SERVICES)",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-14",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TALIA",
"authorized_official_middle_name": "AMO",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OWNER",
"authorized_official_telephone_number": "612-444-1745",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D., LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.