Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Jackson, MEDCOUNSELING

Individual provider School Counselor · NPI 1609692631

Amy Jackson, MEDCOUNSELING is a School Counselor in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1100 Lyons Ave
South Lake Tahoe, CA 96150-8252
Phone: (530) 307-4046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X (CA)

Record details

NPI number1609692631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCOUNSELING
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 24, 2024

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