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

Shane Michell Jackson, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922173897

Shane Michell Jackson, LPC is an Addiction (Substance Use Disorder) Counselor in Gilmer, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

115 W Tyler St
Gilmer, TX 75644-2239
Phone: (903) 746-7643
Fax: (903) 843-4336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4128 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 16480 (TX)

Record details

NPI number1922173897
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1551, Gilmer, TX 75644-1551

Other providers in Gilmer