Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANAYA MOON JACKSON, LPC
Active Sole ProprietorProfessional Counselor · CASPER, WY
Registration Details
- NPI Number
- 1659558807
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2008 (18.237791555513 yrs)
- Last Updated
- Sep 25, 2025
- License
-
LPC-1179 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5915 THIRTY THREE MILE RDCASPER, WY, 826049585Browse WY providers · Browse ZIP 82604
- Phone
- 3077606340
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| MS. WHITNEY CAILIN WILSON | LPC | 1427013101 |
| MR. STEVE ERIC WELCH | LPC | 1114031440 |
| SUSAN L WRIEDT-BYRNE | MS,LPC,NNC | 1972604874 |
| STACIE M DILTS-HARRYMAN | LPC, NCC | 1356411995 |
| MRS. ANN MARIE ERNST | LPC | 1487728150 |
| MRS. JOANNE E RISSER HICKS | MS LPC NCC | 1487728101 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.