STACEY L JACKSON LPC
NPI 1790926905
Counselor - Professional in Pacolet, SC
About Stacey L Jackson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY L JACKSON LPC (NPI 1790926905) is an individual professional provider in Pacolet, South Carolina, licensed in South Carolina (LPC.5354 PC) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Stacey L Jackson Lpc 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.
Other Providers at the Same Location NPPES
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 Stacey Jackson's NPI number?
The NPI number for Stacey Jackson is 1790926905. It was assigned to this individual provider in the NPPES registry on March 18, 2009.
Where is Stacey Jackson located?
Stacey Jackson practices at 131 Cameron St, Pacolet, SC 29372. The listed phone number is (864) 398-9322.
What is Stacey Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacey Jackson enrolled in Medicare?
Yes. Stacey 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 Stacey Jackson accept?
Health plans from Providence Health Plan list Stacey 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 Stacey Jackson was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Stacey L Jackson, LPC · NPI 1790926905
Professional provider in Pacolet, South Carolina. Individual provider, active in the CMS NPPES registry since March 18, 2009.
## Identity
- **NPI:** 1790926905 (Entity type: Individual)
- **Enumerated:** March 18, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC.5354 PC (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 131 CAMERON ST, Pacolet, SC 29372-2838
- **Phone:** (864) 398-9322 · **Fax:** (888) 707-1002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 7, 2025
- **Other identifiers:** Medicaid PC1558 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1790926905) · Data from the CMS NPPES public registry.