Jackson T Douglas , LPC
Counselor - Professional • Springfield, MO
Professional Overview & Biography Verified Profile Summary
Jackson Douglas, LPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, MO. Practice services are available at 1300 E BRADFORD PKWY under active NPI credentials.
Practice Location & Contact Primary Location
1300 E Bradford Pkwy
Springfield, MO 658044264
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Springfield, MO
Practicing in Springfield, MO (5929 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-08-22NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Practice Locations
875 W Moreno Ave
Colorado Springs, CO 809051731
Phone: 7195726100
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Master Social Worker
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Counselor - Professional
Master of Science, Licensed Professional Counselor
Counselor - Professional
Master of Science, Licensed Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Recorded as JACKSON DOUGLAS, LPC
NPI status registered as active in NPPES database
Registered at 875 W MORENO AVE, COLORADO SPRINGS, CO 809051731 (Tel: 7195726100)
Registered at 220 RUSKIN DR, COLORADO SPRINGS, CO 809102522 (Tel: 7195726100)
Recorded as JACKSON DOUGLAS, MA
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1300 E Bradford Pkwy
Springfield, MO 658044264
Phone: 4177615000
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