Dr. Shelley A Jackson, PHD, LCMHC
Counselor, Mental Health in St. Albans, Vermont
1679098347- Practice location
- 228 Hathaway PT. RD., St. Albans, VT 05478
- Phone
- 940-641-4186
- Fax
- —
- Last updated
- October 23, 2023
Shelley Ann Jackson is a Counselor, Mental Health based in St. Albans, VT. Shelley Ann Jackson practices in St. Albans, VT and has the professional credentials of PHD, LCMHC. The NPI Number for Shelley Ann Jackson is 1679098347 and holds a License No. 1679098347 (VT). The current practice location address for Shelley Ann Jackson is 228 Hathaway PT. RD., St. Albans, VT 05478 and can be reached out via phone at 940-641-4186.
Provider Profile Details
- NPI Number
- 1679098347
- Provider Name
- Shelley Ann Jackson
- Credential
- PHD, LCMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 228 Hathaway PT. RD., St. Albans, VT 05478
- Phone Number
- 940-641-4186
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2017
- Last Update Date
- October 23, 2023
- Certification Date
- February 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 228 Hathaway PT. RD.
St. Albans, VT 05478 - City
- St. Albans
- State
- Vermont
- Zip
- 05478
- Phone Number
- 940-641-4186
Provider Business Mailing Address Details
- Address
- 228 Hathaway PT. RD.
St. Albans, VT 05478-7200 - City
- St. Albans
- State
- VT
- Zip
- 05478-7200
- Phone Number
- 940-641-4186
License Information
- License Number (1)
- 1679098347
- License State (1)
- VT
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License Number (2)
- 15616
- License State (2)
- TX
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near St. Albans, VT
View all Counselor, Mental Health providers in St. Albans →- James R Nelson, LCMHCCounselor, Mental Health · NPI 1467674580
- Kristen R Lococo, LCMHCCounselor, Mental Health · NPI 1114083698
- Mr. Anthony J Stevens, LCMHCCounselor, Mental Health · NPI 1841265808
- Mr. Frank X Short, LCMHCCounselor, Mental Health · NPI 1902871171
- Mrs. Holly S Wakefield, LCMHC LPCCounselor, Mental Health · NPI 1114092954
- Ms. Deborah B Shell, LCMHCCounselor, Mental Health · NPI 1881669935
Frequently Asked Questions
What is the NPI number of Dr. Shelley A Jackson, PHD, LCMHC?
The NPI number of Dr. Shelley A Jackson, PHD, LCMHC is 1679098347. It was assigned on August 3, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Shelley A Jackson, PHD, LCMHC?
Dr. Shelley A Jackson, PHD, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 1679098347.
Where does Dr. Shelley A Jackson, PHD, LCMHC practice?
The practice location is 228 Hathaway PT. RD., St. Albans, VT 05478. The office can be reached at 940-641-4186 (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 1679098347 directly on the NPPES registry website.