IndividualActive
Kimberly Jackson
NPI 1740465277 · Counselor · Conway, SC
Kimberly Jackson is a Counselor provider in Conway, SC (NPI 1740465277).
Provider details
- NPI number
- 1740465277
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Street-level locationGet directions
Mailing address
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2008-01-03
Frequently asked questions
- What is Kimberly Jackson's NPI number?
- Kimberly Jackson's National Provider Identifier (NPI) is 1740465277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Jackson's specialty?
- Kimberly Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Jackson located?
- Kimberly Jackson's practice location on file with NPPES is 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903.
- What is Kimberly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Jackson is (843) 347-5060.
- Is Kimberly Jackson's NPI active?
- Yes — Kimberly Jackson's NPI (1740465277) is active in the NPPES registry as of the last update on 2008-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.