Charles Wayne Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63795 Issued in TX

Practice address

6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445

Phone

(210) 769-3811

NPI assigned

Sep 16, 2008

Last updated

Aug 11, 2026By the provider in NPPES

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

Enrolled in TX

Eligible to order & refer

• Part B services: No
• 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.

• Alamo Heights Counseling Inc.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1528301579
  Medicare reassignment NPD
• Stellar Counseling PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1780169839
  NPD
• The Extended Olive Branch Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
  • NPI 1619645975
  NPD
• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307
  NPD

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1871742791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-769-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-769-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlayne E Jackson, M.D.
• Carolyn L Jackson, CRNA
• Casey Nicole Jackson, COTA
• Cassandra Leigh Jackson, PT, DPT
• Catherine Benedict Jackson, PSY.D
• Christopher Jackson, MD
• Crae Jackson
• Daija Adeine Jackson
• Danielle Nicole Jackson
• Delores Jackson, LCSW

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.