IndividualActive
Lynisha Kelly-Jackson, PH.D, LP, LSSP, NCS
NPI 1891491296 · Psychologist · Lewisville, TX
Provider details
- NPI number
- 1891491296
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D, LP, LSSP, NCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 70907 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1945 Lakepoint Dr
Lewisville, TX 75057
Phone: (813) 563-0728
Street-level locationGet directions
Mailing address
992 Montgomery Ln
Polk City, FL 33868-9097
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2025-02-07
- Certified
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.