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JENNIFER DAVIS JACKSON LCAS
NPI 1871772517
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since October 30, 2007
429 BILLINGSLEY RD, CHARLOTTE, NC 28211(704) 445-6900 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Dec 26, 2018, Jul 17, 2017 (3 updates tracked since 2017).

About Jennifer Davis Jackson Lcas NPPES

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

JENNIFER DAVIS JACKSON LCAS (NPI 1871772517) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina and active in the NPI registry since October 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871772517
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER DAVIS JACKSONCredential: LCAS
Location Address429 BILLINGSLEY RDCharlotte, NC 28211
Mailing Address429 Billingsley RdCharlotte, NC 28211-1007 · (704) 445-6900
Phone(704) 445-6900
Sole ProprietorNo
Enumeration DateOctober 30, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1871772517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
429 BILLINGSLEY RD, Charlotte, NC 28211
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Other Names 1

Former Name (1)Jennifer Ann Davis

Secondary Practice Locations 2

Location 1515 Clanton RdCharlotte, NC 28217-1309 · Phone (704) 332-9001 ext. 2287 · Fax (704) 295-4251
Location 2100 Billingsley RdCharlotte, NC 28211-1002 · Phone (704) 376-7447

Other Providers at the Same Location NPPES 20

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

JOHN SCOTT
Counselor (Addiction (Substance Use Disorder))
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 445-6900
MR. TONY RAY BEATTY LCAS, CCS
Counselor (Addiction (Substance Use Disorder))
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 336-3067
MRS. MARTHA KARRIKER HALL MA, LPC
Counselor (Professional)
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 432-3992
MR. DAVID ATWELL HAMBY M.A., LCAS
Counselor (Addiction (Substance Use Disorder))
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 336-5640
AUTUMN SHERE' WOODARD LCSW, LCAS
Social Worker (Clinical)
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 445-6900
KIMBERLY ANNE BLACKMON LPC, NCC, LCAS, CCS
Counselor (Addiction (Substance Use Disorder))
429 BILLINGSLEY RD, MECKLENBURG COUNTY AMH SASC
CHARLOTTE, NC 28211
Mecklenburg County (704) 336-5651
TAMARA VAUGHT LCASA
Counselor (Addiction (Substance Use Disorder))
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 445-6900
MS. BEVERLY HELEN BROOKSHIRE MS
Counselor (Addiction (Substance Use Disorder))
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 336-5634

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1871772517. It was assigned to this individual provider in the NPPES registry on October 30, 2007. The provider is also known as Jennifer Ann Davis.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 429 Billingsley Rd, Charlotte, NC 28211. The listed phone number is (704) 445-6900.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.