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Active NPI 1306134077 Individual Practitioner Female Practitioner

Rowena Kathryn Jackson , LCPC

Counselor - Professional • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Rowena Jackson, LCPC is a registered healthcare professional specializing in Counselor - Professional in Lewiston, ID. Practice services are available at 531 BRYDEN AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

531 Bryden Avenue

Lewiston, ID 83501

Telephone 2087981646
Fax 2087985568
Associated Practice Facility / Clinic
🏢 Sequoia Counseling Services, Inc. Facility NPI 1386778959

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Lewiston, ID (1223 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ID LPC658

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806555100 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Karen Meadows , MED

Case Manager/Care Coordinator

NPI 1043174527

Master of Education

Laura Vervain

Community Health Worker

NPI 1053242438
Stacey Forsman

Respite Care - Respite Care, Mental Illness, Child

NPI 1063364412
Emalissa Balentine

Respite Care - Respite Care, Mental Illness, Child

NPI 1063364743
NPI 1154107910

Licensed Master Social Worker

Kathryn Duman , LSW

Social Worker

NPI 1154756617

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 18, 2019

Registered at 531 BRYDEN AVENUE, LEWISTON, ID 83501 (Tel: 2087981646)

📍
Updated Business Mailing Address July 18, 2019

Registered at 531 BRYDEN AVENUE, LEWISTON, ID 83501 (Tel: 2087981646)

👤
Provider Name / Credentials Updated July 18, 2019

Recorded as ROWENA JACKSON, LCPC

✅
NPI Profile Active July 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2011

Registered at 531 BRYDEN AVE, LEWISTON, ID 835014438 (Tel: 2087981646)

📍
Updated Business Mailing Address July 15, 2011

Registered at 531 BRYDEN AVE, LEWISTON, ID 835014438 (Tel: 2087981646)

👤
Provider Name / Credentials Updated July 15, 2011

Recorded as ROWENA JACKSON, M.ED, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2011

Counselor (License #LPC658 in ID)

🟢
Initial NPI Registration & Enumeration July 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306134077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2011
Last Update: July 18, 2019
Sole Proprietor: No
Update or Correct Profile

Mailing Address

531 Bryden Avenue

Lewiston, ID 83501

Phone: 2087981646

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.