Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184158149 Individual Practitioner Female Practitioner

Dr. Jada Cm Jackson , EdD

Counselor - Professional • Lancaster, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jada Jackson, EdD is a registered healthcare professional specializing in Counselor - Professional in Lancaster, TX. Practice services are available at 711 NICHOLS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 Nichols Dr

Lancaster, TX 751467235

Telephone 4079210836
Associated Practice Facility / Clinic
🏢 Philip Kozlow, D.d.s. Facility NPI 1316100662

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lancaster, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Lancaster, TX (21203 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 75885

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL 12331

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2017

Registered at 711 NICHOLS DR, LANCASTER, TX 751467235 (Tel: 4079210836)

📍
Updated Business Mailing Address April 17, 2017

Registered at 5050 QUORUM DR, 700, DALLAS, TX 752547564 (Tel: 4079210836)

👤
Provider Name / Credentials Updated April 17, 2017

Recorded as JADA JACKSON, ED.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Counselor (License #12331 in FL)

🟢
Initial NPI Registration & Enumeration April 17, 2017

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: 1184158149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2017
Last Update: April 17, 2017
Sole Proprietor: Yes

Mailing Address

5050 Quorum Dr, 700

Dallas, TX 752547564

Phone: 4079210836

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.