Monique Dashelle Jackson, NCC, LCMHC-A, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834

Phone

(910) 339-0400

NPI assigned

Dec 10, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Cape Fear Behavioral Health Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1790062057

  Mental Health

  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1952907321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 BEUER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145192",
            "telephone_number": "910-257-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142834",
            "telephone_number": "910-339-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MONIQUE",
        "middle_name": "DASHELLE",
        "credential": "NCC, LCMHC-A, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle G. Jackson, LMBT
• Lakya Jackson, M.S., BCBA-LBA
• Laura Jackson, LCSWA
• Lena Citirah Jackson, LCAS, LCMHC
• Maurice D Jackson, RBT
• Quentera Jackson, MSW, LCSWA
• Shanay Jackson
• Shihad Jackson
• Vonetta Bethea Jackson, LCSWA
• Yakeesha Y Jackson

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, 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 Sep 18, 2021; 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.