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CRYSTAL JACKSON MA
NPI 1972837110
Counselor in Bennettsville, SC

Active since September 21, 2009
1035 CHERAW ST., BENNETTSVILLE, SC 29512(843) 454-0442(843) 454-0212 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Jackson Ma NPPES

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

CRYSTAL JACKSON MA (NPI 1972837110) is an individual counselor in Bennettsville, South Carolina and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1972837110
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCRYSTAL JACKSONCredential: MA
Location Address1035 CHERAW ST.Bennettsville, SC 29512
Mailing AddressP.o. Box 918Bennettsville, SC 29512 · (843) 454-0841 · Fax (843) 454-0635
Phone(843) 454-0442
Fax(843) 454-0212
Sole ProprietorNo
Enumeration DateSeptember 21, 2009
Last NPPES UpdateSeptember 22, 2009
✔ NPI 1972837110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
1035 CHERAW ST., Bennettsville, SC 29512
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Other Identifiers 2

Medicaid405127SC
Medicare PIN3343SC

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.

EDMUND S. HIGGINS M.D.
Specialist
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 556-4157
ELIN B. BERG M.D.
Psychiatry & Neurology (Psychiatry)
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
EUNICE CARNELIA BELL MSW
Counselor
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
AMANDA H. STEEN LPN
Registered Nurse
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
THOMAS PATRICK DUNNE M.D.
Psychiatry & Neurology (Psychiatry)
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
CYNTHIA L KING-BRIDGES MSW
Counselor
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
BEULAH MCNEILL M.A.
Counselor
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
MR. CHRISTIAN L. BARNES-YOUNG MS, LPC
Counselor (Professional)
1035 CHERAW ST.
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442

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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1972837110. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Crystal Jackson located?

Crystal Jackson practices at 1035 Cheraw St., Bennettsville, SC 29512. The listed phone number is (843) 454-0442.

What is Crystal 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 Crystal Jackson was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.