1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Counselor
  6. NPI Profile

MS. BETHENA M JACKSON CSAC, LCAS-A
NPI 1881930006
Counselor - Addiction (Substance Use Disorder) in Durham, NC

Active since December 15, 2012
2604 CARVER ST, SUITE C, DURHAM, NC 27705(919) 682-4771(919) 683-2641 Get Directions Write a Review

NPPES record last updated: December 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Bethena M Jackson Csac, Lcas-a NPPES

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

MS. BETHENA M JACKSON CSAC, LCAS-A (NPI 1881930006) is an individual addiction (substance use disorder) provider in Durham, North Carolina, licensed in North Carolina (2421) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1881930006
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. BETHENA M JACKSONCredential: CSAC, LCAS-A
Location Address2604 CARVER ST, SUITE CDurham, NC 27705-2796
Mailing Address2109 Pear Tree LnDurham, NC 27703-6280 · (919) 633-8360
Phone(919) 682-4771
Fax(919) 683-2641
Sole ProprietorYes
Enumeration DateDecember 15, 2012
✔ NPI 1881930006 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
License✔ Licensed in NC · 2421
2604 CARVER ST, Durham, NC 27705
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

NEW OUTLOOK SECOND CHANCE, INC.
Case Management
2604 CARVER ST, SUITE C
DURHAM, NC 27705
Durham County (919) 682-4771
NEW OUTLOOK..SECOND CHANCE, INC.
Counselor (Addiction (Substance Use Disorder))
2604 CARVER ST, SUITE C
DURHAM, NC 27705
Durham County (919) 682-4771
NEW OPPORTUNITIES SECOND CHANCE, INC.
Community/Behavioral Health
2604 CARVER ST, SUITE C
DURHAM, NC 27705
Durham County (919) 682-4771

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 Bethena Jackson's NPI number?

The NPI number for Bethena Jackson is 1881930006. It was assigned to this individual provider in the NPPES registry on December 15, 2012.

Where is Bethena Jackson located?

Bethena Jackson practices at 2604 Carver St Suite C, Durham, NC 27705. The listed phone number is (919) 682-4771.

What is Bethena 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 Bethena Jackson was last updated on December 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.