Staci L Jackson, LMFT
Marriage & Family Therapist in Leicester, Massachusetts
1174246060- Practice location
- 1136 Main St, Leicester, MA 01524-1349
- Phone
- 607-207-6681
- Fax
- —
- Last updated
- August 12, 2025
Staci Lyn Jackson is a Marriage & Family Therapist based in Leicester, MA. Staci Lyn Jackson practices in Leicester, MA and has the professional credentials of LMFT. The NPI Number for Staci Lyn Jackson is 1174246060 and holds a License No. 1836 (MA). The current practice location address for Staci Lyn Jackson is 1136 Main St, Leicester, MA 01524-1349 and can be reached out via phone at 607-207-6681.
Provider Profile Details
- NPI Number
- 1174246060
- Provider Name
- Staci Lyn Jackson
- Credential
- LMFT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1136 Main St, Leicester, MA 01524-1349
- Phone Number
- 607-207-6681
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 26, 2022
- Last Update Date
- August 12, 2025
- Certification Date
- August 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1136 Main St
Leicester, MA 01524-1349 - City
- Leicester
- State
- Massachusetts
- Zip
- 01524-1349
- Phone Number
- 607-207-6681
Provider Business Mailing Address Details
- Address
- 436 Southbridge St.
Suite 2, #1006
Auburn, MA 01501 - City
- Auburn
- State
- MA
- Zip
- 01501
- Phone Number
- 607-207-6681
License Information
- License Number
- 1836
- License State
- MA
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Staci L Jackson, LMFT?
The NPI number of Staci L Jackson, LMFT is 1174246060. It was assigned on September 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Staci L Jackson, LMFT?
Staci L Jackson, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in MA under license number 1836.
Where does Staci L Jackson, LMFT practice?
The practice location is 1136 Main St, Leicester, MA 01524-1349. The office can be reached at 607-207-6681 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174246060 directly on the NPPES registry website.