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

Tishara A. Jackson, EDD, LCDC, CSC

Individual provider Mental Health Counselor · NPI 1477319119

Tishara A. Jackson, EDD, LCDC, CSC is a Mental Health Counselor in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

8201 Southbrook Cir
Fort Worth, TX 76134-5332
Phone: (773) 996-3797
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15299 (TX)

Record details

NPI number1477319119
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , LCDC , CSC
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Other providers in Fort Worth