Caren Marie Jackson, MS/EDS, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7148 Issued in NC

Practice address

101 Prestwould Dr
Lewisville, NC 27023-9523

Phone

(336) 488-7465

NPI assigned

Sep 26, 2008

Last updated

Mar 30, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• The Neil Group, Inc

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1518142280
  NPD
• The Neil Group, Inc

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1720115512
  NPD

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1699925610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PRESTWOULD DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239523",
            "telephone_number": "336-488-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRESTWOULD DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239523",
            "telephone_number": "336-488-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 Ashleybrook Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032961",
            "country_code": "US",
            "telephone_number": "336-774-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CAREN",
        "middle_name": "MARIE",
        "credential": "MS/EDS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Hess, RPH
• Briana Bralley Holt
• David Robb Holton, FNP
• Into the Wild, Inc.
• Amy Elizabeth Field Ivester, M.A., CCC-SLP
• Terry Lynn James
• Karen M Jarvis, MA, CCC-SLP
• Jason T. Moore, D.D.S. and Adam T. Dorsett, D.D.S., PA (Hillsdale Dental-Lewisville)
• JC Ward DDS PLLC (Ward Family Dentistry)
• Joni Kett Johnson, PHARM.D.

• Mental Health Counselor in Lewisville, NC
• Providers in Lewisville, 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 Mar 30, 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.