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SAM JACKSON LAC
NPI 1851750061
Counselor in Mesa, AZ

Active since February 16, 2016
4250 E FLORIAN AVE, BUILDING #1, MESA, AZ 85206(480) 844-1653 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sam Jackson Lac NPPES

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

SAM JACKSON LAC (NPI 1851750061) is an individual counselor in Mesa, Arizona, licensed in Arizona (LAC-15314) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1851750061
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSAM JACKSONCredential: LAC
Location Address4250 E FLORIAN AVE, BUILDING #1Mesa, AZ 85206-2797
Mailing Address924 N Country Club Dr, Building #1Mesa, AZ 85201-4108 · (480) 969-3800
Phone(480) 844-1653
Sole ProprietorNo
Enumeration DateFebruary 16, 2016
✔ NPI 1851750061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LAC-15314
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4250 E FLORIAN AVE, Mesa, AZ 85206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 18

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

MR. JOSEPH A. PLANDOWSKI M.A.
Student in an Organized Health Care Education/Training Program
4250 E FLORIAN AVE
MESA, AZ 85206
Maricopa County (480) 844-1653
BRETT PETERSEN LMSW
Social Worker (Clinical)
4250 E FLORIAN AVE, BUILDING #1
MESA, AZ 85206
Maricopa County (480) 844-1653
MS. JULIE KATHLEEN LANGANKE BSW
Student in an Organized Health Care Education/Training Program
4250 E FLORIAN AVE, BLDG. #1
MESA, AZ 85206
Maricopa County (480) 844-1653
MS. ERIN MARIE JUAREZ M.A, BCBA
Behavior Analyst
4250 E FLORIAN AVE
MESA, AZ 85206
Maricopa County (480) 969-3800
TONIA HALONA BHT
Technician, Other
4250 E FLORIAN AVE, BUILDING #1
MESA, AZ 85206
Maricopa County (480) 969-3800
MRS. LAURA NORFOR BHT
Behavior Technician
4250 E FLORIAN AVE
MESA, AZ 85206
Maricopa County (480) 844-1653
MS. DENISE ELLEN FOGELSTROM LPC
Counselor (Professional)
4250 E FLORIAN AVE, BUILDING 1
MESA, AZ 85206
Maricopa County (480) 844-1653
DANIELLE CHINAVARE
Counselor
4250 E FLORIAN AVE, BLDG 1
MESA, AZ 85206
Maricopa County (480) 844-1653

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 Sam Jackson's NPI number?

The NPI number for Sam Jackson is 1851750061. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Sam Jackson located?

Sam Jackson practices at 4250 E Florian Ave Building #1, Mesa, AZ 85206. The listed phone number is (480) 844-1653.

What is Sam Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Sam Jackson accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Sam 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 Sam Jackson was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.