NPI age
19 years
Enumerated 2006-12-12
● Active
Type 1 · Individual
Jean Petrilla Jackson, MA, LPC
Jackson is 1 of 47 counselor providers in Odessa and 1 of 23131 in Texas.
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 23131 active counselor providers in Texas.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
855 Central Dr
Odessa, TX 797614200
Mailing address
1200 W 10th St
Odessa, TX 797633546
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 3710LC | BLUECROSS BLUESHIELD |
| 01 | 5212693 | AETNA |
| 01 | 1296590 | CIGNA |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new counselor providers have been added in Odessa in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.