Marsha D Jackson, M.ED.,L.M.S.W.,L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1597 Issued in SC

Practice address

2400 W Main St
Rock Hill, SC 29732-8968

Phone

(803) 327-6103

Fax

(803) 328-5443

NPI assigned

Nov 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1598830937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297316068",
            "telephone_number": "803-327-6103",
            "fax_number": "803-328-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328968",
            "telephone_number": "803-327-6103",
            "fax_number": "803-328-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARSHA",
        "middle_name": "D",
        "credential": "M.ED.,L.M.S.W.,L.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1597",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "570629234006",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Michele Boyne, DMD, L.L.C.
• Natalie Jacewicz, M.ED
• Jackson Pediatric Dentistry LLC
• Breanna Jackson, RBT
• Margaret Jackson
• Michael Latrelle Jackson
• Tiffany Denise Jackson, MD
• William Jackson, MD
• Amanda Kristen Jacobs, PHARMD
• Brittany Jacobs, DPT

• Professional Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.