WILLIAM M. JACKSON JR. LPC
NPI 1073407342
Counselor - Professional in Lynchburg, VA
About William M. Jackson Jr. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM M. JACKSON JR. LPC (NPI 1073407342) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701003216) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
William M. Jackson Jr. Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
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 William Jackson's NPI number?
The NPI number for William Jackson is 1073407342. It was assigned to this individual provider in the NPPES registry on June 3, 2025.
Where is William Jackson located?
William Jackson practices at 1901 Tate Springs Rd Dillard Building, Lynchburg, VA 24501. The listed phone number is (434) 200-3033.
What is William Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is William Jackson enrolled in Medicare?
Yes. William Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for William Jackson was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# William M. Jackson Jr., LPC · NPI 1073407342
Professional provider in Lynchburg, Virginia. Individual provider, active in the CMS NPPES registry since June 3, 2025.
## Identity
- **NPI:** 1073407342 (Entity type: Individual)
- **Enumerated:** June 3, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701003216 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 TATE SPRINGS RD, DILLARD BUILDING, Lynchburg, VA 24501-1109
- **Phone:** (434) 200-3033
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073407342) · Data from the CMS NPPES public registry.