Azel Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-21976 Issued in AZ

Practice address

8804 N 23Rd Ave BLDG a
Phoenix, AZ 85021-4160

Phone

(602) 685-6000

Fax

(602) 216-7040

NPI assigned

Sep 7, 2019

Last updated

Jan 13, 2026By the provider in NPPES

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Forever Grace LLC

  • Adult Mental Health Clinic/Center
  • Tolleson, AZ
  • NPI 1043043698
  NPD Authorized official
• Terros, Inc.

  dba Terros Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1841498060
  Medicare reassignment
• Terros Inc

  dba Terros Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1326555376
  NPD
• Terros Inc

  dba Terros Health - University Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1356202360
  NPD
• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831344035
  NPD
• Terros, Inc.

  dba Terros Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1528443066
  NPD (past)

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1508415043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 N 23RD AVE BLDG A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214160",
            "telephone_number": "602-685-6000",
            "fax_number": "602-216-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AZEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-07",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jackson Lane
• Paige Jackson Smith, MD
• Megan Jackson-Hamus
• Tana Jackson-Wilson
• Anthony Rashad Jackson, PA
• Beverly Yvonne Jackson, RN, MSN
• Brock Jackson, MD
• Byron Jackson
• Cate Jackson, DNP, PMHNP-BC
• Cherie Jackson

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.