TINA L JACKSON
NPI 1639752207
Counselor - Mental Health in Moncks Corner, SC
NPI Status: Active since May 03, 2021
Contact Information
403 STONY LANDING RD
MONCKS CORNER, SC
ZIP 29461
Phone: (843) 761-8282
Fax: (843) 761-7308
- Individual
- Female
- Counselor
- Mental Health
About TINA JACKSON
This page provides the complete NPI Profile along with additional information for Tina Jackson, a provider established in Moncks Corner, South Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1639752207 assigned on May 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1639752207
- Provider Name
- TINA L JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 403 STONY LANDING RD MONCKS CORNER, SC 29461
- Location Phone
- (843) 761-8282
- Location Fax
- (843) 761-7308
- Mailing Address
- 403 STONY LANDING RD MONCKS CORNER, SC 29461
- Mailing Phone
- (843) 761-8282
- Mailing Fax
- (843) 761-7308
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-03-2021
- Last Update Date
- 05-03-2021
- Code Navigator
A mental health counselor like Tina Jackson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 435201 | MEDICAID (05) | SC |
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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 | 6 | 3 | 9 | 7 | 5 | 2 | 2 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 5 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 5 + 4 + 2 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1639752207 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1144351099 | TIFFANY N REEVES Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1326360314 | MS. LOUISE ANN CONDER MA Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1366746349 | HEATHER K EBY HUMAN SERV COORD I Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1487958468 | LANEIA R WALKER HUMAN SERV COORD I Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1376847350 | ANGELA W SMALLS HUMAN SERV COORD I Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1417225137 | MS. ROBIN S SEVIGNEY THERAPIST Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1346514437 | MS. HILARY A BAKER MHC3 Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1205188042 | MS. TONYA R MCKINLEY RN Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1619220068 | MR. AARON T BROWN MHP Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1518206747 | MISS AMY M PARKER RN Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1093140352 | MR. JUSTIN DAVID BAILEM MHC Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1558785998 | MR. DAVID G. KALERGIS JR. Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1619391042 | HOLLY A. BENDER Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1669896098 | CHRISTY Y. MCCREA LPN Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1730508763 | MRS. ELAINE K. POWERS RN Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1558764332 | DEBRA C REILLY REGISTERED NURSE Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1093118895 | EVELYN T GREGG REGISTERED NURSE I Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1134517725 | MS. LASEAUN K MYERS BS Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1649659863 | DAVID B. PRUETT Individual | Counselor (Mental Health) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
| 1538100219 | MRS. JOHNETTE OWENS Individual | Counselor (Professional) | 403 STONY LANDING RD MONCKS CORNER, SC 29461 (843) 761-8282 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639752207, enumerated in the NPI registry as an "individual" on May 03, 2021
The provider is located at 403 Stony Landing Rd Moncks Corner, Sc 29461 and the phone number is (843) 761-8282
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 03, 2021. 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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