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

Sara Jackson, LSCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194342436

Sara Jackson, LSCSW is an Addiction (Substance Use Disorder) Counselor in Kansas City, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2020

Practice location Address checks out

4810 State Ave
Kansas City, KS 66102-1748
Phone: (816) 221-0305
Fax: (816) 221-9121
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAC00802 (KS)

Record details

NPI number1194342436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedJuly 2, 2020
Last updated in NPPESSeptember 11, 2025
Certification dateJanuary 29, 2025

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