Hershel Jackson Jr., MA, LPC
NPI 1043614621ActiveIndividual· Counselor, Professional· Clarkston, MI
Counselor, Professional (MA, LPC) in Clarkston, Michigan, licensed in MI, with an NPI issued in October 2014. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1043614621 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LPC |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2014 |
| Last updated in NPPES | Feb 4, 2020 |
| Certified by provider | Feb 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401018127 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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