Charles Jerome Jackson, LPC, LMFT
NPI 1700907920ActiveIndividual· Counselor, Professional· Jonesboro, AR
Counselor, Professional (LPC, LMFT) with Arisa Health Inc, practicing in Jonesboro, Arkansas. Medicare paid $2,148 for services to 18 patients in 2024.
Overview
| NPI | 1700907920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, LMFT |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2007 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | P0803027 | AR |
| Marriage & Family Therapist | 106H00000X | M00806008 | AR |
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 (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 36 across 7 procedure codes |
| Paid by Medicare | $2,148 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Arisa Health IncSpringdale, AR · 67 clinicians
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