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JOHN MARK JACKSON LPC
NPI 1104061993
Counselor - Professional in Charlotte, NC

Active since December 08, 2008
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211(704) 358-2700(704) 358-2796 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Mark Jackson Lpc NPPES

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

JOHN MARK JACKSON LPC (NPI 1104061993) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (1066) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1104061993
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN MARK JACKSONCredential: LPC
Location Address501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPHCharlotte, NC 28211-1009
Mailing Address501 Billingsley Road, Behavioral Health Center Cmc RandolphCharlotte, NC 28211-1009 · (704) 358-2710 · Fax (704) 358-2938
Phone(704) 358-2700
Fax(704) 358-2796
Sole ProprietorNo
Enumeration DateDecember 8, 2008
✔ NPI 1104061993 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 · 1066
501 BILLINGSLEY ROAD, Charlotte, NC 28211
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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.

PATRICIA G. WOLF LCSW
Social Worker (Clinical)
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2700
AMY CRANE MAGAS LCSW
Social Worker (Clinical)
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2700
MRS. CLAIRE NICOLE JONES LCSW
Social Worker (Clinical)
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2700
CAROLINAS MEDICAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2700
LINDA O AVERY LCSW
Social Worker (Clinical)
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2700
ANN H. SHANKAR CNS, NP
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2700
CAROLINAS MEDICAL GROUP-PSYCHIATRIC AND PSYCHOLOGICAL ASSOCIATES
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY ROAD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2744
CAROLINAS MEDICAL CENTER
Community/Behavioral Health
501 BILLINGSLEY ROAD, CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2710

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 John Jackson's NPI number?

The NPI number for John Jackson is 1104061993. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is John Jackson located?

John Jackson practices at 501 Billingsley Road Behavioral Health Center Cmc Randolph, Charlotte, NC 28211. The listed phone number is (704) 358-2700.

What is John 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 John Jackson was last updated on December 8, 2008. 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.