Jessie Lee Jackson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.0900273 Issued in OH

Practice address

2233 Rocky LN
Ashland, OH 44805-4701

Phone

(419) 281-3716

NPI assigned

Jan 7, 2013

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessie.jackson.1@29049.direct.athenahealth.com
• FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

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.

• Christian Children'S Home of Ohio

  • Adolescent and Children Mental Health Clinic/Center
  • Wooster, OH
  • NPI 1588694590
  NPD (past)
• Christian Children'S Home of Ohio

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wooster, OH
  • NPI 1871161539
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1992042394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 MARILYN DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911416",
            "telephone_number": "330-933-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ROCKY LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054701",
            "telephone_number": "419-281-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JESSIE",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0900273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Huvler, LCDCIII
• Sarah L Hyer, APRN
• Jacalyn Iceman, PT, DPT
• Integral Care LLC
• Amber Irwin
• Jennifer K Jacobsen, LSW
• James H. Mooney, MD, LLC
• Mary Jo Janchar, LISW, LICDC
• Amy Jarvis
• Dianne Kay Javurek, MED, MSW, LSW

• Mental Health Counselor in Ashland, OH
• Providers in Ashland, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.