Jailyn Jackson, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18729 Issued in NC

Practice address

200 N Main St Ste 304
Graham, NC 27253-2853

Phone

(336) 265-6723

NPI assigned

Sep 5, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orinoco Wellness, LC

  • Mental Health Counselor
  • Graham, NC
  • NPI 1508577321
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1215713375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST STE 304",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532853",
            "telephone_number": "336-265-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST STE 304",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532853",
            "telephone_number": "336-265-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Martin St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272172949",
            "country_code": "US",
            "telephone_number": "336-570-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAILYN",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House of Hope II
• Frank Wills Hunter, RPH
• Integrative Services of the Carolinas LLC
• Vinod Jones Isaiah, DC
• Jack H Wolf MD
• Kristen James, DPT
• Jerome M Crayle DDS PLLC
• Jerry Crayle
• Megan P. Johnson, DO
• Alexander James Antonios Karamalegos, D.O.

• Mental Health Counselor in Graham, NC
• Providers in Graham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.