JERRY EDWIN JACKSON JR. LPC
NPI 1356423594
Counselor - Professional in Wilmington, NC

Active since October 19, 2006
3963 MARKET STREET, SUITE A, WILMINGTON, NC 28403(910) 362-9474(910) 362-9192 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Edwin Jackson Jr. Lpc NPPES

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

JERRY EDWIN JACKSON JR. LPC (NPI 1356423594) is an individual professional provider in Wilmington, North Carolina, licensed in North Carolina (5109) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1356423594
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRY EDWIN JACKSON JR.Credential: LPC
Location Address3963 MARKET STREET, SUITE AWilmington, NC 28403
Mailing Address3963 Market Street, Suite AWilmington, NC 28403 · (910) 362-9474 · Fax (910) 362-9192
Fax(910) 362-9192
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1356423594 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 · 5109
3963 MARKET STREET, Wilmington, NC 28403

Other Identifiers 1

Medicaid6103285NC

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Community/Behavioral Health
3963 MARKET STREET, SUITE A
WILMINGTON, NC 28403
Counselor (Professional)
3963 MARKET STREET, SUITE A
WILMINGTON, NC 28403
Community/Behavioral Health
3963 MARKET STREET, SUITE A
WILMINGTON, NC 28403
Community/Behavioral Health
3963 MARKET STREET, SUITE A
WILMINGTON, NC 28403
Community/Behavioral Health
3963 MARKET STREET, SUITE A
WILMINGTON, NC 28403
Community/Behavioral Health
3963 MARKET STREET, SUITE A
WILMINGTON, NC 28403

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 Jerry Jackson's NPI number?

The NPI number for Jerry Jackson is 1356423594. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Jerry Jackson located?

Jerry Jackson practices at 3963 Market Street Suite A, Wilmington, NC 28403. The listed phone number is (910) 362-9474.

What is Jerry Jackson's specialty?

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

What insurance does Jerry Jackson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jerry 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 Jerry Jackson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.