ERIN SHUNKESHA JACKSON PHD
NPI 1407929151
Psychologist in Huntersville, NC

Active since November 17, 2006Opted out of Medicare · through Jan 13, 2028
11330 VANSTORY DR STE 109F, HUNTERSVILLE, NC 28078(980) 705-4122 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Jan 5, 2021 (2 updates tracked since 2021).

About Erin Shunkesha Jackson Phd NPPES

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

ERIN SHUNKESHA JACKSON PHD (NPI 1407929151) is an individual psychologist in Huntersville, North Carolina, licensed in North Carolina (4147) and active in the NPI registry since November 2006. She has opted out of Medicare through January 13, 2028.

NPPES Registry Identity

NPI1407929151
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameERIN SHUNKESHA JACKSONCredential: PHD
Location Address11330 VANSTORY DR STE 109FHuntersville, NC 28078-8146
Mailing Address4030 Wake Forest Rd Ste 349Raleigh, NC 27609-0010 · (407) 579-1771
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1407929151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 4147
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11330 VANSTORY DR STE 109F, Huntersville, NC 28078

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Erin Shunkesha Jackson Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 13, 2026 through January 13, 2028.

Opt-Out Effective DateJanuary 13, 2026
Opt-Out In Effect ThroughJanuary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
11330 VANSTORY DR STE 109F
HUNTERSVILLE, NC 28078

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 Erin Jackson's NPI number?

The NPI number for Erin Jackson is 1407929151. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Erin Jackson located?

Erin Jackson practices at 11330 Vanstory Dr Ste 109F, Huntersville, NC 28078. The listed phone number is (980) 705-4122.

What is Erin Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Erin Jackson enrolled in Medicare?

No. Erin Jackson has opted out of Medicare through January 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Erin Jackson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Erin 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 Erin Jackson was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.