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CLARISSA JACKSON
NPI 1851907364
Counselor - Mental Health in Charlotte, NC

Active since September 20, 2020PECOS Enrolled
10140 HAWKEYE DR, CHARLOTTE, NC 28273(704) 458-8110 Get Directions Write a Review

NPPES record last updated: September 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarissa Jackson NPPES

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

CLARISSA JACKSON (NPI 1851907364) is an individual mental health provider in Charlotte, North Carolina and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851907364
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCLARISSA JACKSON
Location Address10140 HAWKEYE DRCharlotte, NC 28273-4536
Mailing Address10140 Hawkeye DrCharlotte, NC 28273-4536 · (704) 458-8110
Phone(704) 458-8110
Sole ProprietorYes
Enumeration DateSeptember 20, 2020
NPPES CertifiedSeptember 20, 2020
✔ NPI 1851907364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10140 HAWKEYE DR, Charlotte, NC 28273
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarissa Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Clarissa Jackson's NPI number?

The NPI number for Clarissa Jackson is 1851907364. It was assigned to this individual provider in the NPPES registry on September 20, 2020.

Where is Clarissa Jackson located?

Clarissa Jackson practices at 10140 Hawkeye Dr, Charlotte, NC 28273. The listed phone number is (704) 458-8110.

What is Clarissa Jackson's specialty?

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

Is Clarissa Jackson enrolled in Medicare?

Yes. Clarissa Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Clarissa Jackson accept?

Health plans from Blue Cross and Blue Shield of NC list Clarissa 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 Clarissa Jackson was last updated on September 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.