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JACQUELINE NICOLE JACKSON BSPM/BA/MSFP
NPI 1629935978
Counselor - Mental Health in Guyton, GA

Active since January 08, 2026
174 SCHOLAR RD, GUYTON, GA 31312(912) 231-7061 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Nicole Jackson Bspm/ba/msfp NPPES

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

JACQUELINE NICOLE JACKSON BSPM/BA/MSFP (NPI 1629935978) is an individual mental health provider in Guyton, Georgia and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1629935978
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE NICOLE JACKSONCredential: BSPM/BA/MSFP
Location Address174 SCHOLAR RDGuyton, GA 31312-6240
Mailing Address174 Scholar RdGuyton, GA 31312-6240 · (912) 231-7061
Phone(912) 231-7061
Sole ProprietorNo
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1629935978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
174 SCHOLAR RD, Guyton, GA 31312
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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.

DR CRYSTAL MALLOY PHD LPC MAC CEAP LLC
Counselor (Mental Health)
174 SCHOLAR RD
GUYTON, GA 31312
Effingham County (337) 396-5592
INDIA I'DALIS HUDSON
Counselor (Mental Health)
174 SCHOLAR RD
GUYTON, GA 31312
Effingham County (912) 231-7061
ROLAND ROBERT JACKSON JR.
Counselor (Mental Health)
174 SCHOLAR RD
GUYTON, GA 31312
Effingham County (912) 231-7061
DR. DAN BERNARD JOHNSON JR. PH.D.
Counselor (Mental Health)
174 SCHOLAR RD
GUYTON, GA 31312
Effingham County (912) 877-2227
DR. CRYSTAL MALLOY PHD, LPC, MAC, CEAP
Counselor (Professional)
174 SCHOLAR RD
GUYTON, GA 31312
Effingham County (337) 396-5592
ANNETTA SCOTT
Counselor (Mental Health)
174 SCHOLAR RD
GUYTON, GA 31312
Effingham County (912) 231-7061

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 Jacqueline Jackson's NPI number?

The NPI number for Jacqueline Jackson is 1629935978. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Jacqueline Jackson located?

Jacqueline Jackson practices at 174 Scholar Rd, Guyton, GA 31312. The listed phone number is (912) 231-7061.

What is Jacqueline Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Jackson was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.