Shane Jackson, LPC
NPI 1922173897 · Addiction (Substance Use Disorder) Counselor · Gilmer, TX
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Jackson, LPC is a Addiction (Substance Use Disorder) Counselor provider in Gilmer, TX (NPI 1922173897).
Provider details
- NPI number
- 1922173897
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4128 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
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
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
Mailing address
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Shane Jackson's NPI number?
- Shane Jackson's National Provider Identifier (NPI) is 1922173897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Jackson's specialty?
- Shane Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Shane Jackson located?
- Shane Jackson's practice location on file with NPPES is 115 W Tyler St, Gilmer, TX 75644-2239.
- What is Shane Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shane Jackson is (903) 746-7643.
- Does Shane Jackson accept Medicare?
- Shane Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Jackson's NPI active?
- Yes — Shane Jackson's NPI (1922173897) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.