MR. CHARLES JEROME JACKSON LPC, LMFT
NPI 1700907920
Counselor - Professional in Jonesboro, AR

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
2707 BROWNS LN, JONESBORO, AR 72401(870) 972-4000 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Mar 17, 2018, Jan 9, 2018 (3 updates tracked since 2018).

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

NPI1700907920
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CHARLES JEROME JACKSONCredential: LPC, LMFT
Location Address2707 BROWNS LNJonesboro, AR 72401-7213
Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939 · Fax (870) 972-4911
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1700907920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P0803027
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License M00806008 (AR)
2707 BROWNS LN, Jonesboro, AR 72401

Secondary Practice Locations 2

Location 14354 Stockton DrNorth Little Rock, AR 72117-2917 · Phone (501) 955-7600 · Fax (501) 955-7612
Location 2902 W Court St, Suite RParagould, AR 72450-5921 · Phone (870) 215-0766

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 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.

PECOS PAC ID2769833441
PECOS Enrollment IDI20240106000567
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 20

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

Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Licensed Practical Nurse
2707 BROWNS LN
JONESBORO, AR 72401
Social Worker
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401

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.

What insurance does Charles Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 5 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.