DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY JACKSON, LPC

Active Sole Proprietor

TIFFANY JACKSON, LPC is a Mental Health Counselor healthcare provider located in LEES SUMMIT, Missouri. NPI 1992101752 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LEES SUMMIT, MO

Registration Details

NPI Number
1992101752
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2014 (11.744987306416 yrs)
Last Updated
Sep 30, 2025
Licenses
2021012242 (MO)
P1607095 (AR)
A1308078 (AR)
Sole Proprietor
Yes

Practice Information

Address
312 SW GREENWICH DR STE 579
LEES SUMMIT, MO, 640824408
Browse MO providers · Browse ZIP 64082
Phone
8704136905
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in LEES SUMMIT, MO

Name Credential NPI
PAUL HENDRICKS 1922084060
MR. RICH LYN SHERMAN PH.D., LPC 1386693935
MRS. MYRNA B. VAUGHAN LPC 1932146404
MS. JOANN IRENE MCCLUNG LPC 1518070564
MR. ELIJAH LORENZ BUCHHOLZ LCPC, LCAC, LPC 1942472295
LISA M ERICKSON LCSW 1205077237
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.