IndividualActive
Kristen Jackson, MA, LPCC
NPI 1992385272 · Professional Counselor · Prior Lake, MN
Provider details
- NPI number
- 1992385272
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- CC02553 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
16180 Hastings Ave Se Ste 205
Prior Lake, MN 55372-9228
Phone: (952) 443-4600
Fax: (952) 443-4604
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 51
Victoria, MN 55386-0051
Additional practice locations (4)
- 5910 Shingle Creek PkwyBrooklyn Center, MN 55430-2322Phone: (763) 569-5228Fax: (763) 569-5240
- 1435 White Oak Dr Ste 200Chaska, MN 55318-2567Phone: (952) 443-4600Fax: (952) 443-4604
- 15265 Carrousel Way Ste 100Rosemount, MN 55068-1760Phone: (952) 443-4600Fax: (952) 443-4604
- 1772 Stieger Lake Ln Ste 220Victoria, MN 55386-7723Phone: (952) 443-4600Fax: (952) 443-4604
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2021-05-28
- Certified
- 2021-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.