Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891149233 Individual Practitioner Female Practitioner

Deja Jackson

Counselor - Professional • Olathe, KS

Professional Overview & Biography Verified Profile Summary

Deja Jackson is a registered healthcare professional specializing in Counselor - Professional in Olathe, KS. Practice services are available at 1715 E. CEDAR SUITE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1715 E. Cedar Suite 115

Olathe, KS 66062

Telephone 8169773178
Associated Practice Facility / Clinic
🏢 Stacey Hall Facility NPI 1366671828

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Olathe, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
134 Specialists

Practicing in Olathe, KS (1513 Statewide)

Telehealth Adoption Rate
1.5% 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 KS 2853

Definition to come...

Practice Associates & Co-Workers

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

11 Associated Practitioners
Catherine Ainsworth

Social Worker - Clinical

NPI 1235489782
Sarah Roitz , MS, LPC, NCC

Counselor - Professional

NPI 1235752916

Master of Science, Licensed Professional Counselor, National Certified Counselor

NPI 1316334949

Licensed Master Social Worker

Shannon Everitt

Technician - Attendant Care Provider

NPI 1316658982
Stacey Tadokoro , LSCSW

Counselor - Mental Health

NPI 1376728477
Caleb Stephens , LMSW, LAC

Counselor - Addiction (Substance Use Disorder)

NPI 1518361492

Licensed Master Social Worker, Licensed Acupuncturist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2016

Registered at 1715 E. CEDAR SUITE 115, OLATHE, KS 66062 (Tel: 8169773178)

📍
Updated Business Mailing Address April 22, 2016

Registered at 941 E 21ST TER, LAWRENCE, KS 66046

👤
Provider Name / Credentials Updated April 22, 2016

Recorded as DEJA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Counselor (License #2853 in KS)

🟢
Initial NPI Registration & Enumeration April 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891149233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2016
Last Update: April 22, 2016
Sole Proprietor: No

Mailing Address

941 E 21st Ter

Lawrence, KS 66046

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.