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

Connie Jackson

Individual provider Professional Counselor · NPI 1265973812

Connie Jackson is a Mental Health Counselor in Kingsland, Texas. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1410 Ranch Road 2900 Ste 303
Kingsland, TX 78639-5853
Phone: (830) 499-3744
Show map & directions

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

Additional practice locations (1)

  • 809 12th St Ste C3-B, Marble Falls, TX 78654-5180 — (830) 499-3744

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 74377 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 13344 (TX)

Record details

NPI number1265973812
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2017
Last updated in NPPESOctober 2, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kingsland