IndividualActive
Jerry Jackson, LPC
NPI 1356423594 · Professional Counselor · Wilmington, NC
Jerry Jackson, LPC is a Professional Counselor provider in Wilmington, NC (NPI 1356423594).
Provider details
- NPI number
- 1356423594
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 5109 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3963 Market Street
Suite a
Wilmington, NC 28403
Phone: (910) 362-9474
Fax: (910) 362-9192
Street-level locationGet directions
Mailing address
3963 Market Street
Wilmington, NC 28403
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jerry Jackson's NPI number?
- Jerry Jackson's National Provider Identifier (NPI) is 1356423594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Jackson's specialty?
- Jerry Jackson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Jackson located?
- Jerry Jackson's practice location on file with NPPES is 3963 Market Street, Wilmington, NC 28403.
- What is Jerry Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jerry Jackson is (910) 362-9474.
- Is Jerry Jackson's NPI active?
- Yes — Jerry Jackson's NPI (1356423594) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.