P Praxis·MD
● Active Type 1 · Individual

Jean Petrilla Jackson, MA, LPC

Counselor·Odessa, TX· NPI 1710048830 · Enumerated 2006 · 19 years on NPI
Jackson is 1 of 47 counselor providers in Odessa and 1 of 23131 in Texas.
NPI age
19 years
Enumerated 2006-12-12
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
📞 4325807250fax 4325822020
Mailing address
1200 W 10th St
Odessa, TX 797633546
📞 4325807250fax 4325822020

Specialties

  • Counselor Primary
    Definition to come...
    TX license #14966 taxonomy 101YP2500X

Identifiers

TypeValueNotes
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. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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