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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CHARLES WAYNE JACKSON LPC
NPI 1871742791
Counselor - Professional in San Antonio, TX

Active since September 16, 2008PECOS Enrolled
16320 HUEBNER RD STE 200, SAN ANTONIO, TX 78248(210) 425-5047(830) 215-0223 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Wayne Jackson Lpc NPPES

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

MR. CHARLES WAYNE JACKSON LPC (NPI 1871742791) is an individual professional provider in San Antonio, Texas, licensed in Texas (63795) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1871742791
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CHARLES WAYNE JACKSONCredential: LPC
Location Address16320 HUEBNER RD STE 200San Antonio, TX 78248-1690
Mailing Address16320 Huebner Rd Ste 200San Antonio, TX 78248-1690 · (210) 425-5047 · Fax (830) 215-0223
Phone(210) 425-5047
Fax(830) 215-0223
Sole ProprietorNo
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1871742791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 63795
16320 HUEBNER RD STE 200, San Antonio, TX 78248
Open in Google Maps ↗

Secondary Practice Location 1

Location 16502 Bandera Rd Ste 101San Antonio, TX 78238-1445 · Phone (210) 769-3811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.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)

Mr. Charles Wayne Jackson Lpc 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.

Other Providers at the Same Location NPPES

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

THE EXTENDED OLIVE BRANCH COUNSELING CENTER LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
16320 HUEBNER RD STE 200
SAN ANTONIO, TX 78248
Bexar County (830) 443-0553

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 1871742791. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Charles Jackson located?

Charles Jackson practices at 16320 Huebner Rd Ste 200, San Antonio, TX 78248. The listed phone number is (210) 425-5047.

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 enrollment system.

What insurance does Charles Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare and 1 other insurer 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 July 31, 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.