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ROBERTA D JACKSON MA COUNSELING
NPI 1043232655
Counselor - Mental Health in Orangeburg, SC

Active since July 24, 2006
2316 ST MATTHEWS ROAD, ORANGEBURG, SC 29118(803) 536-1571(803) 536-1463 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roberta D Jackson Ma Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTA D JACKSON MA COUNSELING (NPI 1043232655) is an individual mental health provider in Orangeburg, South Carolina and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043232655
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROBERTA D JACKSONCredential: MA COUNSELING
Location Address2316 ST MATTHEWS ROADOrangeburg, SC 29118
Mailing Address2319 St Matthews RoadOrangeburg, SC 29118 · (803) 536-1571 · Fax (803) 536-1463
Phone(803) 536-1571
Fax(803) 536-1463
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043232655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2316 ST MATTHEWS ROAD, Orangeburg, SC 29118
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Other Identifiers 2

Medicare ID-Type Unspecified3345
Medicaid413093SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberta Jackson's NPI number?

The NPI number for Roberta Jackson is 1043232655. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Roberta Jackson located?

Roberta Jackson practices at 2316 St Matthews Road, Orangeburg, SC 29118. The listed phone number is (803) 536-1571.

What is Roberta Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roberta Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.