CHARLES ANTHONY JACKSON
NPI 1891897708
Counselor - Mental Health in Greenville, SC
About Charles Anthony Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES ANTHONY JACKSON (NPI 1891897708) is an individual mental health provider in Greenville, South Carolina and active in the NPI registry since September 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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.
GREENVILLE, SC 29601
GREENVILLE, SC 29601
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 1891897708. It was assigned to this individual provider in the NPPES registry on September 1, 2006.
Where is Charles Jackson located?
Charles Jackson practices at 124 Mallard Street, Greenville, SC 29601. The listed phone number is (864) 241-1044.
What is Charles Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Charles Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Charles Anthony Jackson · NPI 1891897708
Mental Health provider in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since September 1, 2006.
## Identity
- **NPI:** 1891897708 (Entity type: Individual)
- **Enumerated:** September 1, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 124 MALLARD STREET, Greenville, SC 29601-4046
- **Phone:** (864) 241-1044
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 301100 (SC); Medicare ID-Type Unspecified 3333 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1891897708) · Data from the CMS NPPES public registry.