Jolita Jackson, LPCS, L CAS, CCS
Individual provider Active NPI Mental Health Counselor · Franklin, NC
NPI 1851596928 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1851596928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 33 E Main St Ste 5
Franklin, NC 28734-3059 - Phone
- (828) 524-6390
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3199 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barium Springs Home for Children | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3199 | NC | |
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
33 E Main St Ste 5
Franklin, NC 28734-3059
Mailing address
33 E Main St Ste 5
Franklin, NC 28734-3059
Phone (828) 524-6390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102469 | Medicaid | NC |
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- Jeegar A Jailwala
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- James O. Redmond, DDS, PA
All providers in Franklin, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.