Susan H. Jackson, LPC, CAC II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2477 Issued in SC

Practice address

410 University Pkwy
Suite 2300
Aiken, SC 29801-6807

Phone

(803) 335-1219

Fax

(803) 335-1689

NPI assigned

Sep 8, 2009

Last updated

Mar 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Susan Holly Besson Jackson Former name

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1912230129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-335-1219",
            "fax_number": "803-335-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-335-1219",
            "fax_number": "803-335-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SUSAN",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002609",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2477",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "002609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BESSON JACKSON",
            "middle_name": "HOLLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelena Jackson, LBSW
• Richard Jackson, DMD
• Sawyer Scott Jackson, DMD
• Shana Lorene Cox Jackson, CPNP-PC
• Sherri Denise Jackson
• William G Jackson, CRNA
• Stephanie Alyssa Catherine Jaffe, AU.D.
• James Lowell Hagan,Sr, M.D., LLC.
• Jodi Lee James, LMT
• Laura Christine James, MD

• Professional Counselor in Aiken, SC
• Providers in Aiken, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.