Don Benard Jackson Jr., B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1650 Art Museum Dr
Suite 11
Jacksonville, FL 32207-1118

Phone

(904) 881-8235

NPI assigned

Jan 27, 2011

Sex

Male

Sole proprietor

No

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1790081511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 DETROIT ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541937",
            "telephone_number": "919-539-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ART MUSEUM DR",
            "address_2": "SUITE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071118",
            "telephone_number": "904-881-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DON",
        "middle_name": "BENARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Sokolik Jackson, M.D.
• Courtney Carson Jackson
• Curtis Earl Jackson
• Demika Jackson
• Derda Jackson, LMHC
• Ebony Jackson
• Elizabeth Denise Jackson, LPN
• Gerald Derand Jackson
• Helen D Jackson, LD/N
• Jacob Grant Jackson, PT, DPT, ATC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.