Jackson Psychotherapy, LLC
Jackson Psychotherapy, LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Lawrence, KS, holding Type 2 (organization) NPI 1578064861 since 2018. The authorized official on file is Reginald Jackson, Owner/Psychotherapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578064861 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Psychotherapy, LLC |
| Practice address | 901 KENTUCKY ST STE 306, Lawrence, KS, 66044 |
| Phone | 8163777398 |
| Fax | 8168731364 |
| Enumeration date | 2018-02-22 |
| Last updated in NPPES | 2018-02-22 |
Authorized official
| Name | Reginald Jackson |
|---|---|
| Title | Owner/Psychotherapist |
| Phone | 8163777398 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | 4352 | KS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015021883 | Medicaid | MO | — |
| 4352 | Medicaid | KS | — |
| 2015021883 | Other | MO | BCBS OF KANSAS CITY |
| 4352 | Other | KS | BCBS |
Copy-ready billing details
Provider: Jackson Psychotherapy, LLC NPI: 1578064861 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) 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 |
| 1154846533 | Jackson Psychotherapy, LLC | Organization | Clinical Social Worker | 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 1578064861 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
Who is the authorized official for Jackson Psychotherapy, LLC?
What is the NPI number for Jackson Psychotherapy, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-02-22.