Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Richard Brendan Jackson, LPC, LMAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912500554

Mr. Richard Brendan Jackson, LPC, LMAC-T is a Mental Health Counselor in Shawnee, Kansas. Qualified in 2020, 6 years ago. Practices with Wyandot Center for Community Behavioral Healthcare Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6221 Richards Dr
Shawnee, KS 66216-1724
Phone: (913) 248-1943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 03696 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 00906-T (KS)

Record details

NPI number1912500554
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LMAC-T
Sole proprietorNo
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wyandot Center For Community Behavioral Healthcare Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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