JOHN MARK JACKSON LPC
NPI 1104061993
Counselor - Professional in Charlotte, NC
NPI Status: Active since December 08, 2008
Contact Information
501 BILLINGSLEY ROAD
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC
ZIP 28211
Phone: (704) 358-2700
Fax: (704) 358-2796
- Individual
- Male
- Counselor
- Professional
About JOHN JACKSON
This page provides the complete NPI Profile along with additional information for John Jackson, a provider established in Charlotte, North Carolina with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104061993 assigned on December 2008. The practitioner's primary taxonomy code is 101YP2500X with license number 1066 (NC). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1104061993
- Provider Name
- JOHN MARK JACKSON LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211
- Location Phone
- (704) 358-2700
- Location Fax
- (704) 358-2796
- Mailing Address
- 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211
- Mailing Phone
- (704) 358-2710
- Mailing Fax
- (704) 358-2796
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-08-2008
- Last Update Date
- 12-08-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1066
- License State
- NC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 6 | 1 | 9 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 6 | 2 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 6 + 2 + 9 + 1 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1104061993 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316970502 | MISTY L. COLLIER LPA Individual | Psychologist (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1174557748 | LINDA O AVERY LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1932134640 | CHARLENE M. GRATTAN LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1235164948 | JILL S. GARMAN LPC Individual | Counselor (Professional) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOL CHARLOTTE, NC 28211 (704) 358-2700 |
| 1972528198 | JAMES W. HOPKINS LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDO CHARLOTTE, NC 28211 (704) 358-2700 |
| 1720004054 | CONNIE L. EADS LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1497771364 | JANICE B. HENNESSEE LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1598781379 | JENNIFER L. KRANCE PSY.D. Individual | Psychologist (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1629096656 | ANTOINETTE H. SOUFFRANT LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1851319891 | DAWN M. VANHOY LPC Individual | Counselor (Professional) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1013935634 | PATRICIA G. WOLF LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1780602391 | TRACY L. WATKINS LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1699794537 | CHAD C. RITTERSPACH PSY.D. Individual | Psychologist (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1851314967 | MARK C. ELLIS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1558379396 | CHRISTOPHER E. LORD M.D. Individual | Psychiatry & Neurology (Psychiatry) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
| 1174683650 | CAROLINAS MEDICAL GROUP-PSYCHIATRIC AND PSYCHOLOGICAL ASSOCIATES Organization | Psychiatry & Neurology (Psychiatry) | 501 BILLINGSLEY ROAD CHARLOTTE, NC 28211 (704) 358-2744 |
| 1205950433 | DR. ALICIA CEBALLOS PH.D. Individual | Psychologist (Clinical) | 501 BILLINGSLEY ROAD CHARLOTTE, NC 28211 (704) 358-2700 |
| 1972792869 | CAROLINAS MEDICAL CENTER Organization | Clinic/Center (Adult Mental Health) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 444-2520 |
| 1821278664 | BEHAVIORAL HEALTH CENTER CMC RANDOLPH Organization | Clinic/Center (Adult Mental Health) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 336-6570 |
| 1073797213 | AMY CRANE MAGAS LCSW Individual | Social Worker (Clinical) | 501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH CHARLOTTE, NC 28211 (704) 358-2700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104061993, enumerated in the NPI registry as an "individual" on December 08, 2008
The provider is located at 501 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte, Nc 28211 and the phone number is (704) 358-2700
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
This NPI record was last updated on December 08, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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