Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. SHELLEY ANN JACKSON
Active
Individual
DR. SHELLEY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1679098347
VT
101YP2500X
Professional Counselor
15616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15616
LICENSED PROFESSIONAL COUNSELOR
TX
Enumeration date
08/03/2017
Last updated
10/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up