What is Tina Jackson's NPI number?

Tina Jackson's National Provider Identifier (NPI) is 1639752207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tina Jackson's specialty?

Tina Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Tina Jackson located?

Tina Jackson's practice location on file with NPPES is 403 Stony Landing Rd, Moncks Corner, SC 29461-3967.

What is Tina Jackson's phone number?

The practice phone number listed in the NPPES registry for Tina Jackson is (843) 761-8282.

Is Tina Jackson's NPI active?

Yes — Tina Jackson's NPI (1639752207) is active in the NPPES registry as of the last update on 2021-05-03.

IndividualActive

Tina Jackson

NPI 1639752207 · Mental Health Counselor · Moncks Corner, SC

Tina Jackson is a Mental Health Counselor provider in Moncks Corner, SC (NPI 1639752207).

Provider details

NPI number: 1639752207
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% 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

403 Stony Landing Rd

Moncks Corner, SC 29461-3967

Phone: (843) 761-8282

Fax: (843) 761-7308

Street-level locationGet directions

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Mailing address