MARIO JACKSON
NPI 1689479412
Counselor - Mental Health in Monroe, NC

Active since February 17, 2025
4831 OLD CHARLOTTE HWY STE A, MONROE, NC 28110(704) 575-2142 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario Jackson NPPES

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

MARIO JACKSON (NPI 1689479412) is an individual mental health provider in Monroe, North Carolina, licensed in North Carolina (230958) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1689479412
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARIO JACKSON
Location Address4831 OLD CHARLOTTE HWY STE AMonroe, NC 28110-6300
Mailing Address1736 Dickerson Blvd Ste FMonroe, NC 28110-2833 · (704) 575-2142
Sole ProprietorNo
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
NPI 1689479412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 230958
4831 OLD CHARLOTTE HWY STE A, Monroe, NC 28110

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4831 OLD CHARLOTTE HWY STE A
MONROE, NC 28110

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 Mario Jackson's NPI number?

The NPI number for Mario Jackson is 1689479412. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Mario Jackson located?

Mario Jackson practices at 4831 Old Charlotte Hwy Ste A, Monroe, NC 28110. The listed phone number is (704) 575-2142.

What is Mario 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 Mario Jackson was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.