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

Taylor Michele Jackson, LPC

Individual provider Mental Health Counselor · NPI 1114611746

Taylor Michele Jackson, LPC is a Mental Health Counselor in Independence, Missouri. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2023
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

17844 E 23rd St S
Independence, MO 64057-1840
Phone: (816) 254-3652
Fax: (816) 254-9243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Westport Rd, Kansas City, MO 64111-3145 — (816) 366-5515

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2025034919 (MO)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1114611746
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 6, 2023
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing addressPo Box 844715, Kansas City, MO 64184-4715

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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