HERSHEL JACKSON JR. MA, LPC
NPI 1043614621
Counselor - Professional in Clarkston, MI

Active since October 10, 2014PECOS Enrolled
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346(248) 620-6400 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hershel Jackson Jr. Ma, Lpc NPPES

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

HERSHEL JACKSON JR. MA, LPC (NPI 1043614621) is an individual professional provider in Clarkston, Michigan, licensed in Michigan (6401018127) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1043614621
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameHERSHEL JACKSON JR.Credential: MA, LPC
Location Address6549 TOWN CENTER DR STE AClarkston, MI 48346-4824
Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (248) 620-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 10, 2014
Last NPPES UpdateFebruary 4, 2020
NPI 1043614621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401018127
6549 TOWN CENTER DR STE A, Clarkston, MI 48346

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hershel Jackson Jr. Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799273736
PECOS Enrollment IDI20251022002005
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Health Information
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Social Worker (Clinical)
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Licensed Practical Nurse
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Technician/Technologist
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Social Worker (Clinical)
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Social Worker (Clinical)
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Social Worker (Clinical)
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346
Counselor (Professional)
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346

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 Hershel Jackson's NPI number?

The NPI number for Hershel Jackson is 1043614621. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Where is Hershel Jackson located?

Hershel Jackson practices at 6549 Town Center Dr Ste A, Clarkston, MI 48346. The listed phone number is (248) 620-6400.

What is Hershel Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Hershel Jackson enrolled in Medicare?

Yes. Hershel Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Hershel Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Hershel Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hershel Jackson was last updated on February 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.