What is Tedra Jackson's NPI number?

Tedra Jackson's National Provider Identifier (NPI) is 1023130176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tedra Jackson's specialty?

Tedra Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Tedra Jackson located?

Tedra Jackson's practice location on file with NPPES is 3330 S Lancaster Rd, Dallas, TX 75216-4531.

What is Tedra Jackson's phone number?

The practice phone number listed in the NPPES registry for Tedra Jackson is (214) 371-6639.

Is Tedra Jackson's NPI active?

Yes — Tedra Jackson's NPI (1023130176) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Tedra Jackson

NPI 1023130176 · Mental Health Counselor · Dallas, TX

Tedra Jackson is a Mental Health Counselor provider in Dallas, TX (NPI 1023130176).

Provider details

NPI number: 1023130176
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3330 S Lancaster Rd

Dallas, TX 75216-4531

Phone: (214) 371-6639

Approximate (ZIP-level) locationGet directions

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Mailing address