Active NPI 1679948491 Individual Practitioner Female Practitioner

Heather Leann Jackson , LPCC

Counselor - Professional • Versailles, KY

Professional Overview & Biography Verified Profile Summary

Heather Jackson, LPCC is a registered healthcare professional specializing in Counselor - Professional in Versailles, KY. Practice services are available at SIMMONS ELEMENTARY HEALTHY KIDS CLINIC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Simmons Elementary Healthy Kids Clinic
830 Tyrone Pike

Versailles, KY 403831323

Telephone 8444350900

Fax 2708584029

Associated Practice Facility / Clinic

🏢 Cumberland Family Medical Center Inc Facility NPI 1033591615

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Versailles, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.5 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

12 Specialists

Practicing in Versailles, KY (2199 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

CMS Verified: 2023-05-25

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License KY 283493

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License KY 169029

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1679948491 (KY)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kristal Mullins , LPCC

Counselor - Professional

NPI 1003152257

Licensed Professional Clinical Counselor

Jerri Nixon , LPCC

Counselor - Professional

NPI 1003213836

Licensed Professional Clinical Counselor

Stephanie Gallagher , LPCC

Counselor - Professional

NPI 1023425345

Licensed Professional Clinical Counselor

Katherine Skeen-Morris , LMFT

Marriage & Family Therapist

NPI 1023705332

Licensed Marriage and Family Therapist

Kelly Fenwick , LCSW

Social Worker - Clinical

NPI 1023772779

Licensed Clinical Social Worker

Dr. Virginia Dunlap , DMD

Dentist - General Practice

NPI 1033859897

Doctor of Dental Medicine

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location January 09, 2024

Registered at SIMMONS ELEMENTARY HEALTHY KIDS CLINIC, 830 TYRONE PIKE, VERSAILLES, KY 403831323 (Tel: 8444350900)

📍

Updated Business Mailing Address January 09, 2024

Registered at PO BOX 1080, BURKESVILLE, KY 427171080 (Tel: 2708586655)

👤

Provider Name / Credentials Updated January 09, 2024

Recorded as HEATHER JACKSON, LPCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2024

Counselor (License #283493 in KY)

📍

Updated Practice Location May 25, 2023

Registered at 205 FRANKFORT ST STE 8, VERSAILLES, KY 403831023 (Tel: 8592427846)

📍

Updated Practice Location March 06, 2023

Registered at 210 CARDINAL AVE, VERSAILLES, KY 403831114 (Tel: 8596189950)

📍

Updated Business Mailing Address March 06, 2023

Registered at 210 CARDINAL AVE, VERSAILLES, KY 403831114 (Tel: 8596189950)

👤

Provider Name / Credentials Updated March 06, 2023

Recorded as HEATHER JACKSON, LPCC, LCADC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Counselor (License #169029 in KY)

✅

NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2016

Registered at 123 WEDDINGTON BRANCH RD, PIKEVILLE, KY 415013204 (Tel: 6064379500)

📍

Updated Business Mailing Address June 02, 2016

Registered at 123 WEDDINGTON BRANCH RD, PIKEVILLE, KY 415013204 (Tel: 6064379500)

👤

Provider Name / Credentials Updated June 02, 2016

Recorded as HEATHER JACKSON, LPCA, CADC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Counselor (License #166726 in KY)

🟢

Initial NPI Registration & Enumeration December 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1679948491

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 04, 2015

Last Update: January 09, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1080

Burkesville, KY 427171080

Phone: 2708586655

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.