Rosemary Helen Jackson, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11808 Provincetowne Dr
Charlotte, NC 28277-9165

Phone

(704) 905-5577

Fax

(704) 846-2295

NPI assigned

May 28, 2010

Sex

Female

Sole proprietor

Yes

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

Doctor of Philosophy

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1942529995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 PROVINCETOWNE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 PROVINCETOWNE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779165",
            "telephone_number": "704-905-5577",
            "fax_number": "704-846-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROSEMARY",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porshai Juanice Jackson
• Quineka Jackson
• Rebecca Kemp Jackson, MS, LCAS-A
• Reginald Jackson
• Robert Jackson
• Shatamra Jackson, MSW
• Shelia Yvonne Jackson, LCSW-A
• Shonta Jackson
• Stephanie Lynn Jackson, DDS, MS
• Steven Howard Jackson, D.C.

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.