1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Counselor
  6. NPI Profile

REBECCA KEMP JACKSON MS, LCAS-A
NPI 1073208278
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since April 05, 2023
2401 SARDIS RD N STE 120, CHARLOTTE, NC 28227(704) 336-4844(704) 227-0691 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Kemp Jackson Ms, Lcas-a NPPES

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

REBECCA KEMP JACKSON MS, LCAS-A (NPI 1073208278) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1073208278
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameREBECCA KEMP JACKSONCredential: MS, LCAS-A
Location Address2401 SARDIS RD N STE 120Charlotte, NC 28227-7722
Mailing Address2401 Sardis Rd N Ste 120Charlotte, NC 28227-7722 · (704) 336-4844 · Fax (704) 227-0691
Phone(704) 336-4844
Fax(704) 227-0691
Sole ProprietorYes
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1073208278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2401 SARDIS RD N STE 120, Charlotte, NC 28227
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MS. DEBBIE ANN WALLACE-PRATT LCSWA
Social Worker (Clinical)
2401 SARDIS RD N STE 120
CHARLOTTE, NC 28227
Mecklenburg County (704) 227-0625

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 Rebecca Jackson's NPI number?

The NPI number for Rebecca Jackson is 1073208278. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Rebecca Jackson located?

Rebecca Jackson practices at 2401 Sardis Rd N Ste 120, Charlotte, NC 28227. The listed phone number is (704) 336-4844.

What is Rebecca Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rebecca Jackson was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.