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

Tiffany Marie Jackson

Individual provider Professional Counselor · NPI 1205400397

Tiffany Marie Jackson is a Mental Health Counselor in Lynchburg, Virginia. Qualified in 2017, 9 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2021
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Practice location Address checks out

20566 Timberlake Rd Ste A
Lynchburg, VA 24502-7221
Phone: (434) 239-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1205400397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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