Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821316159 Individual Practitioner Female Practitioner

Kimberly Dawn Jackson , LPC

Counselor - Professional • Independence, MO

Professional Overview & Biography Verified Profile Summary

Kimberly Jackson, LPC is a registered healthcare professional specializing in Counselor - Professional in Independence, MO. Practice services are available at 10901 E WINNER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10901 E Winner Rd

Independence, MO 640523755

Telephone 8162543652
Fax 8162549243

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
129 Specialists

Practicing in Independence, MO (5929 Statewide)

Telehealth Adoption Rate
3.1% 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 MO 2009036113

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Heather Hayes , MSW, LCSW

Social Worker - Clinical

NPI 1003454182

Master of Social Work, Licensed Clinical Social Worker

Jameshia Sykes

Counselor - Mental Health

NPI 1023464500
Dr. Bruno Zwerenz , MD

Psychiatry & Neurology - Psychiatry

NPI 1033189816

Doctor of Medicine (M.D.)

Lindsay Moore , LMSW

Social Worker - Clinical

NPI 1033694146

Licensed Master Social Worker

Shay-Lyn Holman , MS, LPC

Counselor - Professional

NPI 1033964853

Master of Science, Licensed Professional Counselor

NPI 1043489909

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2010

Registered at 10901 E WINNER RD, INDEPENDENCE, MO 640523755 (Tel: 8162543652)

📍
Updated Business Mailing Address May 11, 2010

Registered at 10901 E WINNER RD, INDEPENDENCE, MO 640523755 (Tel: 8162543652)

👤
Provider Name / Credentials Updated May 11, 2010

Recorded as KIMBERLY JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2010

Counselor (License #2009036113 in MO)

🟢
Initial NPI Registration & Enumeration May 11, 2010

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: 1821316159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2010
Last Update: May 11, 2010
Sole Proprietor: No

Mailing Address

10901 E Winner Rd

Independence, MO 640523755

Phone: 8162543652

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.