Active NPI
Chandra Jackson
- Professional Counselor
- Burleson, TX
National Provider Identifier
1811790553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 97990
- Practice address
- 835 SW Alsbury Blvd Unit I
Burleson, TX 76028-4094 - Phone
- (682) 325-8688
- NPI assigned
- Mar 28, 2025
- Last updated
- Feb 11, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 97990 | TX | Primary |
Addresses
Primary practice location
835 SW Alsbury Blvd Unit I
Burleson, TX 76028-4094
Mailing address
2706 SE Loop 820 # 1129
Fort Worth, TX 76140-1011
Phone (682) 325-8688
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97990 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Blossom Counseling | Professional | Current | Accepting new patients |
Locations
2706 SE Loop 820
Fort Worth, TX 76140
Phone (817) 492-5844
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Burleson, TX
- NPI 1609737832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1811790553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 SE LOOP 820 # 1129",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761401011",
"telephone_number": "682-325-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SW ALSBURY BLVD UNIT I",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284094",
"telephone_number": "682-325-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-28",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "97990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.