Charity Weaver Jackson, LGPC, NCACII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGPC00618 Issued in DC

Practice address

2112 F St NW Ste 102
Washington, DC 20037-2722

Phone

(202) 349-3212

NPI assigned

Mar 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1326624032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 41ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161708",
            "telephone_number": "252-646-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372722",
            "telephone_number": "202-349-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHARITY",
        "middle_name": "WEAVER",
        "name_prefix": "Mrs.",
        "credential": "LGPC, NCACII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "1407",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC00618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadence Jackson
• Cassandra Jackson
• Celestine Jackson
• Chandrai Jackson, NCSP
• Chanel R Jackson
• Charmain Jackson
• Charmelle Renee Jackson
• Chavon Jackson
• Christine Elaine Jackson
• Christine M. Jackson, MSW

• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.