Sherry A Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005445 Issued in VA

Practice address

12849 Galveston CT # 120
Manassas, VA 20112-8676

Phone

(571) 545-0592

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1902232333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12849 GALVESTON CT # 120",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128676",
            "telephone_number": "571-545-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12849 GALVESTON CT # 120",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128676",
            "telephone_number": "571-545-0592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143626",
            "country_code": "US",
            "telephone_number": "571-545-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005445",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04945247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Nelson MD PC
• Akira Jackson, CSW
• Keira Michelle Jackson
• Robin Joelle Jackson, LPC
• Sabrina Jackson, LPC
• Steven Craig Jackson, DDS
• Joo-Rhee Jacob
• Norman Michael Jacobowitz, MSN, RN-BC, NP-C
• Jennifer H Jacobs, M.D.
• Jessica Jacobs, LCSW

• Professional Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.