JEAN PETRILLA JACKSON (MA, LPC) – Professional Counselor, NPI 1710048830

JEAN PETRILLA JACKSON (MA, LPC) is a healthcare provider. based in Odessa, Texas. specializing in Professional Counselor. They hold the professional credentials MA, LPC. They hold a License No. 14966 (TX). The NPI Number for JEAN PETRILLA JACKSON (MA, LPC) is 1710048830

Main info

Female
Sole Proprietor
Name
JEAN PETRILLA JACKSON (MA, LPC)
NPI
1710048830
Phone
(432) 580-7250
Address
855 CENTRAL DR
Enumeration Date
12 December 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEAN PETRILLA JACKSON (MA, LPC)

  • 855, Central Drive, Odessa Office Park, Odessa, Ector County, Texas, 79761, United States

    ODESSA, TX 797614200

    Phone: (432) 580-7250

    Fax: (432) 582-2020

    Type: Location

  • 1200, West 10th Street, Sweetbriar Apts, Westside, Odessa, Ector County, Texas, 79763, United States

    ODESSA, TX 797633546

    Phone: (432) 580-7250

    Fax: (432) 582-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79761)

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Reviews

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Frequently asked questions

Can I use this page to confirm JEAN PETRILLA JACKSON (MA, LPC)'s NPI?
Yes. JEAN PETRILLA JACKSON (MA, LPC) is listed with NPI 1710048830 in the public NPI dataset.
Can I rely on JEAN PETRILLA JACKSON (MA, LPC) being an active provider?
As of the registry snapshot, JEAN PETRILLA JACKSON (MA, LPC) is marked active.
What taxonomy line describes JEAN PETRILLA JACKSON (MA, LPC)?
For research purposes, treat JEAN PETRILLA JACKSON (MA, LPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where is JEAN PETRILLA JACKSON (MA, LPC) based?
JEAN PETRILLA JACKSON (MA, LPC) is tied to Odessa, Texas in the data we show; additional addresses may exist on the full record.
Is the information about JEAN PETRILLA JACKSON (MA, LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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