1. Home
  2. Directory
  3. South Carolina
  4. Travelers Rest
  5. Counselor
  6. NPI Profile

REBECCA JO JACKSON LPC
NPI 1902069214
Counselor - Professional in Travelers Rest, SC

Active since July 07, 2008PECOS Enrolled
25 SPRINGDALE DR, TRAVELERS REST, SC 29690(864) 610-0658 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Apr 19, 2022 (2 updates tracked since 2022).

About Rebecca Jo Jackson Lpc NPPES

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

REBECCA JO JACKSON LPC (NPI 1902069214) is an individual professional provider in Travelers Rest, South Carolina, licensed in North Carolina (17497) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902069214
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREBECCA JO JACKSONCredential: LPC
Location Address25 SPRINGDALE DRTravelers Rest, SC 29690-2159
Mailing AddressPo Box 504Travelers Rest, SC 29690-0504 · (864) 610-0658
Phone(864) 610-0658
Sole ProprietorNo
Enumeration DateJuly 7, 2008
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1902069214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NC · 17497✔ Licensed in SC · 8204
25 SPRINGDALE DR, Travelers Rest, SC 29690
Open in Google Maps ↗

Other Names 1

Professional Name (2)Rebecca Jo Jackson Lcmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Jo 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.

STILWELL COUNSELING LLC
Counselor (Professional)
25 SPRINGDALE DR
TRAVELERS REST, SC 29690
Greenville County (864) 610-0658

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 Rebecca Jackson's NPI number?

The NPI number for Rebecca Jackson is 1902069214. It was assigned to this individual provider in the NPPES registry on July 7, 2008. The provider is also known as Rebecca Jo Jackson Lcmhc.

Where is Rebecca Jackson located?

Rebecca Jackson practices at 25 Springdale Dr, Travelers Rest, SC 29690. The listed phone number is (864) 610-0658.

What is Rebecca Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rebecca Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rebecca Jackson was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.