Jackson Psychotherapy, LLC
Jackson Psychotherapy, LLC is a healthcare organization registered as Clinical Social Worker in Lawrence, KS, holding Type 2 (organization) NPI 1154846533 since 2017. The authorized official on file is Reginald Jackson, Owner/Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154846533 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Psychotherapy, LLC |
| Other name | <Unavail> |
| Practice address | 901 KENTUCKY ST STE 306, Lawrence, KS, 66044 |
| Phone | 8163777398 |
| Fax | 8168731364 |
| Enumeration date | 2017-08-07 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Reginald Jackson |
|---|---|
| Title | Owner/Executive Director |
| Phone | 8163777398 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200629810C | Medicaid | KS | — |
Copy-ready billing details
Provider: Jackson Psychotherapy, LLC NPI: 1154846533 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 901 KENTUCKY ST STE 306, Lawrence, KS, 66044
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720107535 | Alicia Lawrence | Individual | Clinical Social Worker | Lawrence, KS |
| 1750618336 | Reginald Jackson | Individual | Clinical Social Worker | Lawrence, KS |
| 1639454622 | Lawrence Family Therapy, LLC | Organization | Social Worker | Lawrence, KS |
| 1548620271 | Sandra Dexter | Individual | Clinical Social Worker | Lawrence, KS |
| 1578064861 | Jackson Psychotherapy, LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Lawrence, KS |
| 1770161044 | Gina Graham, Phd, LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Lawrence, KS |
| 1053087452 | Samantha Sanchez | Individual | Social Worker | Lawrence, KS |
| 1578243234 | Lindsey White | Individual | Social Worker | Lawrence, KS |
Verify this record
Cross-check NPI 1154846533 against the authoritative CMS record: view Jackson Psychotherapy, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Jackson Psychotherapy, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.