Stacey L Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Pacolet, South Carolina. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
131 Cameron St, Pacolet, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 398-9322.
Stacey L Jackson is licensed to practice in South Carolina (license number LPC.5354 PC) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790926905.
Healthcare Provider's Profile
| Full Name | Stacey L Jackson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 20 Years |
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| Location | 131 Cameron St, Pacolet, South Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey L Jackson graduated from medical school in 2006
NPI Data:
- NPI Number: 1790926905
- Provider Enumeration Date: 03/18/2009
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305359605
- Enrollment ID: I20250701000329
Medical Identifiers
Medical identifiers for Stacey L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790926905 | NPI | - | NPPES |
| PC1558 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC.5354 PC (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey L Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacey L Jackson, LPC
131 Cameron St,
Pacolet, SC 29372-2838
Ph: (864) 398-9322 | Stacey L Jackson, LPC
131 Cameron St,
Pacolet, SC 29372-2838
Ph: (864) 398-9322 |
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