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

Davaughn Y Jackson, LPC

Individual provider Professional Counselor · NPI 1821307547

Davaughn Y Jackson, LPC is a Mental Health Counselor in Saint Louis, Missouri. Qualified in 2003, 23 years ago. Licensed in Missouri.

Years since qualifying
23
Licensed in
MO
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3800 S Broadway
Saint Louis, MO 63118-4608
Phone: (314) 772-2205
Fax: (314) 772-9264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2009022179 (MO)

Record details

NPI number1821307547
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 29, 2010
Last updated in NPPESSeptember 29, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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