MS. TOMMIE S. JACKSON
NPI 1093754673
Counselor - Professional in Winston Salem, NC

Q: What is Tommie Jackson's NPI number?

The NPI number for Tommie Jackson is 1093754673. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Tommie Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tommie Jackson was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 06, 2006

453 W END BLVD, WINSTON SALEM, NC 27101(336) 750-0130(336) 750-0073 Get Directions Write a Review

NPPES record last updated: July 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Tommie S. Jackson NPPES

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

MS. TOMMIE S. JACKSON (NPI 1093754673) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (925) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093754673

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. TOMMIE S. JACKSON

Location Address453 W END BLVDWinston Salem, NC 27101-1120

Mailing Address453 W End BlvdWinston Salem, NC 27101-1120 · (336) 750-0130 · Fax (336) 750-0073

Phone(336) 750-0130

Fax(336) 750-0073

Sole ProprietorNo

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 8, 2009

✔ NPI 1093754673 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 NC · 925

453 W END BLVD, Winston Salem, NC 27101

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Other Providers at the Same Location NPPES 2

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

MRS. SUSAN STYLES LAUTEMANN LPC,NCC

Counselor (Mental Health)

453 W END BLVD
WINSTON SALEM, NC 27101

Forsyth County (336) 750-0706

MRS. MELISSA ANN DOERFER MS/EDS,LCMHC,NCC,CHT

Counselor (Professional)

453 W END BLVD
WINSTON SALEM, NC 27101

Forsyth County (336) 750-0706

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 Tommie Jackson's NPI number?

The NPI number for Tommie Jackson is 1093754673. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Tommie Jackson located?

Tommie Jackson practices at 453 W End Blvd, Winston Salem, NC 27101. The listed phone number is (336) 750-0130.

What is Tommie Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Tommie Jackson was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.