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

Dr. Tanaya Moon Jackson, LPC

Individual provider Professional Counselor · NPI 1659558807

Dr. Tanaya Moon Jackson, LPC is a Professional Counselor in Casper, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2008
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5915 Thirty Three Mile Rd
Casper, WY 82604-9585
Phone: (307) 760-6340
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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 LPC-1179 (WY)

Record details

NPI number1659558807
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 29, 2008
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

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