Jackson Lang, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21399 Issued in NC

Practice address

447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850

Phone

(704) 264-2973

NPI assigned

Jun 12, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1225923824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S BRUNS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084309",
            "telephone_number": "781-820-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112850",
            "telephone_number": "704-264-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JACKSON",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Laney
• Sandy Laney, LCSW
• Sierra Laney
• Lang Educational Consulting LLC
• Donna Maria Creola Lang, MPAS, PA-C
• Joseph Paul Lang, MD
• Patrick Yunlong Lang, MD, PHD
• Blaire Jenkins Langa, PA
• Matthew Langadas, RBT
• Ankita Patel Langan, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Jun 12, 2025; 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.