PERONICA JACKSON CRC, LPCA
NPI 1902149685
Counselor in High Point, NC

Active since April 01, 2013
1232 N MAIN ST, HIGH POINT, NC 27262(336) 884-1475 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peronica Jackson Crc, Lpca NPPES

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

PERONICA JACKSON CRC, LPCA (NPI 1902149685) is an individual counselor in High Point, North Carolina, licensed in North Carolina (A10097) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1902149685
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NamePERONICA JACKSONCredential: CRC, LPCA
Location Address1232 N MAIN STHigh Point, NC 27262-3118
Mailing Address421 Guilford College Rd, Apt TGreensboro, NC 27409-2055 · (618) 203-0448
Sole ProprietorNo
Enumeration DateApril 1, 2013
NPI 1902149685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NC · A10097
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1232 N MAIN ST, High Point, NC 27262

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Adult Mental Health)
1232 N MAIN ST
HIGH POINT, NC 27262
Counselor (Mental Health)
1232 N MAIN ST
HIGH POINT, NC 27262
Counselor (Professional)
1232 N MAIN ST
HIGH POINT, NC 27262
Nurse Practitioner (Family)
1232 N MAIN ST
HIGH POINT, NC 27262
Residential Treatment Facility, Emotionally Disturbed Children
1232 N MAIN ST
HIGH POINT, NC 27262

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 Peronica Jackson's NPI number?

The NPI number for Peronica Jackson is 1902149685. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Peronica Jackson located?

Peronica Jackson practices at 1232 N Main St, High Point, NC 27262. The listed phone number is (336) 884-1475.

What is Peronica Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Peronica Jackson was last updated on April 1, 2013. 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.