Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANGELIQUE ALEXANDRIA WILKES JACKSON LPC, LAC, LPCC, LMHC
NPI 1801791744
Counselor - Mental Health in Queen Creek, AZ

Q: What is Angelique Jackson's NPI number?

The NPI number for Angelique Jackson is 1801791744. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Q: What is Angelique Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelique Jackson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since October 12, 2026

19512 S 208TH PL, QUEEN CREEK, AZ 85142(480) 235-7229 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Angelique Alexandria Wilkes Jackson Lpc, Lac, Lpcc, Lmhc NPPES

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

ANGELIQUE ALEXANDRIA WILKES JACKSON LPC, LAC, LPCC, LMHC (NPI 1801791744) is an individual mental health provider in Queen Creek, Arizona, licensed in Ohio (C.2608359) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1801791744

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANGELIQUE ALEXANDRIA WILKES JACKSONCredential: LPC, LAC, LPCC, LMHC

Location Address19512 S 208TH PLQueen Creek, AZ 85142-1616

Mailing Address19512 S 208th PlQueen Creek, AZ 85142-1616 · (480) 235-7229

Phone(480) 235-7229

Sole ProprietorYes

Enumeration DateOctober 12, 2026

NPPES CertifiedOctober 12, 2026

✔ NPI 1801791744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in OH · C.2608359✔ Licensed in AZ · LAC-24310✔ Licensed in CO · LPCC.0025111✔ Licensed in WA · MCHA.MC.70155466

19512 S 208TH PL, Queen Creek, AZ 85142

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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 Angelique Jackson's NPI number?

The NPI number for Angelique Jackson is 1801791744. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Angelique Jackson located?

Angelique Jackson practices at 19512 S 208th Pl, Queen Creek, AZ 85142. The listed phone number is (480) 235-7229.

What is Angelique 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 Angelique Jackson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.