MEDICARE: JACKSON THERAPY & CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194596676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSON THERAPY & CONSULTING LLC

Provider Business Mailing Address
First Line	:	4719 27TH ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-2157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4719 27TH ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-2157
Country	:	US
Telephone Number	:	308-529-3551
Fax Number	:

Authorized Official
Title or Position	:	LIMHP
Name	:	MS. RONELLE JACKSON
Credential	:
Telephone Number	:	308-529-3551

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

Similar Medicare Providers

1518817170 — CHAOS TO CLARITY COUNSELING AND CONSULTATION LLC
Practice Location Address:

2157 RIVERDALE SQ W
COLUMBUS, OH
43232-4076

Practice Phone: 614-600-2461
Practice Fax:

1497020366 — MISS KRISTEN D DUNN
Practice Location Address:

2157 HAMPSTEAD DR
COLUMBUS, OH
43229-2848

Practice Phone: 614-638-9195
Practice Fax:

1548791098 — MRS. ANJALI WILLIAMS M.A. CCC-SLP
Practice Location Address:

1717 N STAR RD
COLUMBUS, OH
43212-2157

Practice Phone: 216-538-1332
Practice Fax:

1184346181 — BENJAMIN SHANNON BA, EXP
Practice Location Address:

3261 COLONY VISTA LN
COLUMBUS, OH
43204-2157

Practice Phone: 614-859-9584
Practice Fax:

1184495442 — YOSEPH ARAYA LISW
Practice Location Address:

1464 E COOKE RD
COLUMBUS, OH
43224-2157

Practice Phone: 614-395-8766
Practice Fax:

1700891751 — WALGREEN CO
Practice Location Address:

2320 23RD ST
COLUMBUS, NE
68601-3304

Practice Phone: 402-563-3588
Practice Fax: 402-563-4582

Directions to “JACKSON THERAPY & CONSULTING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.