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Deactivated NPI 1740313766 Deactivated / Inactive NPI Male Practitioner

Robert Jackson , LCP

Psychologist • Riverton, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 13, 2007
NPI Deactivation Date November 06, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Robert Jackson, LCP was a registered Psychologist practicing in Riverton, KS. Throughout an active medical career spanning 18 years, Robert Jackson provided care at the practice location at 6610 SE QUAKERVALE RD until profile deactivation on 2025-11-06.

Practice Location & Contact Primary Location

Practice Address

6610 Se Quakervale Rd

Riverton, KS 667704185

Telephone 6208482300
Fax 6208482301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Riverton, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Riverton, KS (630 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License KS 335

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

39 Associated Practitioners
Whitney Nobis , AAPS

Counselor - Addiction (Substance Use Disorder)

NPI 1013159789
Julie Vogel , LCP

Psychologist

NPI 1023141983
Peter White , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063614865

Nurse Practitioner

Daniel Mcnally , MS, TLMLP

Psychologist - Clinical

NPI 1083170690

Master of Science, TLMLP

Kenna Moore

Counselor - Professional

NPI 1093579450
Natalie Zanatta

Social Worker

NPI 1114876356

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6610 SE QUAKERVALE RD, RIVERTON, KS 667704185 (Tel: 6208482300)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 550, RIVERTON, KS 667700550 (Tel: 6208482300)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT JACKSON, LCP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #335 in KS)

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Initial NPI Registration & Enumeration March 13, 2007

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: 1740313766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: July 08, 2007
Deactivation Date: November 06, 2025

Mailing Address

Po Box 550

Riverton, KS 667700550

Phone: 6208482300

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.