AZEL JACKSON LPC
NPI 1508415043
Counselor - Professional in Phoenix, AZ

Active since September 07, 2019PECOS Enrolled
8804 N 23RD AVE BLDG A, PHOENIX, AZ 85021(602) 685-6000(602) 216-7040 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, May 23, 2023, Sep 7, 2019 (3 updates tracked since 2019).

About Azel Jackson Lpc NPPES

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

AZEL JACKSON LPC (NPI 1508415043) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-21976) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508415043
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameAZEL JACKSONCredential: LPC
Location Address8804 N 23RD AVE BLDG APhoenix, AZ 85021-4160
Mailing Address3003 N Central Ave Ste 400Phoenix, AZ 85012-2929 · (602) 685-6000 · Fax (602) 302-7925
Fax(602) 216-7040
Sole ProprietorYes
Enumeration DateSeptember 7, 2019
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1508415043 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 AZ · LPC-21976
8804 N 23RD AVE BLDG A, Phoenix, AZ 85021

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Azel 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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
8804 N 23RD AVE BLDG A, STE. A01 & A02
PHOENIX, AZ 85021
Social Worker (Clinical)
8804 N 23RD AVE BLDG A
PHOENIX, AZ 85021
Clinic/Center (Federally Qualified Health Center (FQHC))
8804 N 23RD AVE BLDG A, STE A01 & A02
PHOENIX, AZ 85021
Psychiatry & Neurology (Psychiatry)
8804 N 23RD AVE BLDG A
PHOENIX, AZ 85021

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 Azel Jackson's NPI number?

The NPI number for Azel Jackson is 1508415043. It was assigned to this individual provider in the NPPES registry on September 7, 2019.

Where is Azel Jackson located?

Azel Jackson practices at 8804 N 23rd Ave Bldg A, Phoenix, AZ 85021. The listed phone number is (602) 685-6000.

What is Azel Jackson's specialty?

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

Is Azel Jackson enrolled in Medicare?

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

What insurance does Azel Jackson accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Azel 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 Azel Jackson was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.