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

Staci Lyn Jackson, LMFT

Individual provider Marriage & Family Therapist · NPI 1174246060

Staci Lyn Jackson, LMFT is a Marriage and Family Therapist in Leicester, Massachusetts. Qualified in 2015, 11 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2022
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1136 Main St
Leicester, MA 01524-1349
Phone: (607) 207-6681
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1836 (MA)

Record details

NPI number1174246060
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedSeptember 26, 2022
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address436 Southbridge St., Suite 2, #1006, Auburn, MA 01501

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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