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JONATHAN L JACKSON LPC
NPI 1205158730
Counselor - Professional in Lexington, NC

Active since February 25, 2010PECOS Enrolled
1104A S MAIN ST, LEXINGTON, NC 27292(336) 252-2450 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Jonathan L Jackson Lpc NPPES

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

JONATHAN L JACKSON LPC (NPI 1205158730) is an individual professional provider in Lexington, North Carolina, licensed in North Carolina (9641) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1205158730
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN L JACKSONCredential: LPC
Location Address1104A S MAIN STLexington, NC 27292-3134
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(336) 252-2450
Sole ProprietorNo
Enumeration DateFebruary 25, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1205158730 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 · 9641
1104A S MAIN ST, Lexington, NC 27292
Open in Google Maps ↗

Secondary Practice Location 1

Location 1220 E 1st Avenue ExtLexington, NC 27292-3368 · Phone (336) 242-2450 · Fax (336) 249-9920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan L Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Daymark Recovery Services, Inc.
31 mi
Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
NPI 1558329243 (704) 939-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JEFFREY ALAN SIMMS LCMHC
Counselor (Professional)
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 247-2450
MISS SHERRY DENETHRA MCCURDY MS, LCAS
Counselor (Addiction (Substance Use Disorder))
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450
MRS. LUKEISHA RENEE FLOWERS
Counselor (Addiction (Substance Use Disorder))
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450
MS. MARIANNE PRING BROADWAY LPC, LCAS
Counselor (Professional)
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450
CAITLYN GRACE HOUGH LCSW
Social Worker (Clinical)
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450
MISS ARRIONE BENA FOSTER LPC-A
Counselor (Professional)
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450
MS. WENDY MICHELLE LYERLY RN
Clinical Nurse Specialist (Psychiatric/Mental Health)
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450
GERI L SNOKE M.D.
Psychiatry & Neurology (Psychiatry)
1104A S MAIN ST
LEXINGTON, NC 27292
Davidson County (336) 242-2450

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 Jonathan Jackson's NPI number?

The NPI number for Jonathan Jackson is 1205158730. It was assigned to this individual provider in the NPPES registry on February 25, 2010.

Where is Jonathan Jackson located?

Jonathan Jackson practices at 1104A S Main St, Lexington, NC 27292. The listed phone number is (336) 252-2450.

What is Jonathan Jackson's specialty?

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

Is Jonathan Jackson enrolled in Medicare?

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

Which organization bills Medicare for Jonathan Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Jackson reassigns Medicare benefits to Daymark Recovery Services, Inc. (Concord, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Jackson accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Jonathan 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 Jonathan Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.