NPI age
19 years
Enumerated 2006-11-22
● Active
Type 1 · Individual
Shane Michell Jackson, LPC
Jackson is 1 of 2 counselor providers in Gilmer and 1 of 2629 in Texas.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2629 active counselor providers in Texas.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
115 W Tyler St
Gilmer, TX 756442239
Mailing address
Po Box 1551
Gilmer, TX 756441551
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 16480 | LPC |
| 01 (TX) | 4128 | LCDC |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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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.