MR. CHARLES JEROME JACKSON LPC, LMFT
NPI 1700907920
Counselor - Professional in Jonesboro, AR
About Mr. Charles Jerome Jackson Lpc, Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES JEROME JACKSON LPC, LMFT (NPI 1700907920) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P0803027) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Charles Jerome Jackson Lpc, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Charles Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 140 clinicians in this Medicare group
North Little Rock, AR 72117
- Reassigned Medicare billing, Arkansas enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Jackson's NPI number?
The NPI number for Charles Jackson is 1700907920. It was assigned to this individual provider in the NPPES registry on April 3, 2007.
Where is Charles Jackson located?
Charles Jackson practices at 2707 Browns Ln, Jonesboro, AR 72401. The listed phone number is (870) 972-4000.
What is Charles Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Charles Jackson enrolled in Medicare?
Yes. Charles Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Charles Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Jackson reassigns Medicare benefits to 2 organizations: Arisa Health, Inc. (Jonesboro, AR) and Professional Counseling Associates Inc. (North Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Jackson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Charles 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 Charles Jackson was last updated on March 5, 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.
# Mr. Charles Jerome Jackson, LPC, LMFT · NPI 1700907920
Professional provider in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1700907920 (Entity type: Individual)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P0803027 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2707 BROWNS LN, Jonesboro, AR 72401-7213
- **Phone:** (870) 972-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arisa Health, Inc. (NPI 1760187413, Jonesboro, AR); Professional Counseling Associates Inc. (NPI 1437164977, North Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700907920) · Data from the CMS NPPES public registry.