Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144839036 Individual Practitioner Female Practitioner

Kelsi Nicole Jackson , LPC

Counselor - Professional • Irving, TX

Professional Overview & Biography Verified Profile Summary

Kelsi Jackson, LPC is a registered healthcare professional specializing in Counselor - Professional in Irving, TX. Practice services are available at 3636 N MACARTHUR BLVD STE 160 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3636 N Macarthur Blvd Ste 160

Irving, TX 750623601

Telephone 9723751200
Associated Practice Facility / Clinic
🏢 Holman Family Services Llc Facility NPI 1184054843

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
102 Specialists

Practicing in Irving, TX (21203 Statewide)

Telehealth Adoption Rate
6.9% 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: 2020-07-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 79735

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
Lillian Park , LPC

Counselor - Professional

NPI 1508574872

Licensed Professional Counselor

NPI 1740754670

Licensed Chemical Dependency Counselor

Alfred Tabaks , LPC

Counselor - Mental Health

NPI 1992425250

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2020

Registered at 3636 N MACARTHUR BLVD STE 160, IRVING, TX 750623601 (Tel: 9723751200)

📍
Updated Business Mailing Address July 27, 2020

Registered at 8218 SAN JOSE ST, ARLINGTON, TX 760023795 (Tel: 2145527533)

👤
Provider Name / Credentials Updated July 27, 2020

Recorded as KELSI JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Counselor (License #79735 in TX)

🟢
Initial NPI Registration & Enumeration July 27, 2020

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: 1144839036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2020
Last Update: July 27, 2020
Sole Proprietor: No

Mailing Address

8218 San Jose St

Arlington, TX 760023795

Phone: 2145527533

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.