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ROBERT JACKSON
NPI 1427678796
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since April 16, 2020
615 E 6TH ST, CHARLOTTE, NC 28202(980) 999-5006 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2020, Apr 16, 2020 (2 updates tracked since 2020).

About Robert Jackson NPPES

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

ROBERT JACKSON (NPI 1427678796) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (23517) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1427678796
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROBERT JACKSON
Location Address615 E 6TH STCharlotte, NC 28202-2918
Mailing Address430 N Hardin StSouthern Pines, NC 28387-3139 · (704) 258-6366 · Fax (855) 345-0943
Phone(980) 999-5006
Sole ProprietorYes
Enumeration DateApril 16, 2020
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ NPI 1427678796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 23517
615 E 6TH ST, Charlotte, NC 28202
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Other Providers at the Same Location NPPES 8

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

BRITTANY MADISON, LLC
Case Management
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (704) 689-8037
GREENE MCILWAINE FOUNDATION
Counselor (Mental Health)
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (704) 492-1105
JACQUES JEAN FNP-C
Nurse Practitioner
615 E 6TH ST, STE 106
CHARLOTTE, NC 28202
Mecklenburg County (704) 453-1444
ASHLEY SUWANDI
Counselor (Professional)
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (704) 663-5052
HEATHER RIGGS LCMHC-A, LCAS-A
Counselor (Professional)
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (704) 915-9363
JASMINE R. GOLDMAN NCC, LPCA
Counselor (Mental Health)
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (704) 975-8918
BRITTANY MADISON, LLC
Community Health Worker
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (704) 584-9717
GROWING WITH TRUST
Peer Specialist
615 E 6TH ST
CHARLOTTE, NC 28202
Mecklenburg County (412) 660-7172

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1427678796. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Robert Jackson located?

Robert Jackson practices at 615 E 6th St, Charlotte, NC 28202. The listed phone number is (980) 999-5006.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.