Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azia Jackson, LPC-MHSP

Individual provider Mental Health Counselor · NPI 1710878194

Azia Jackson, LPC-MHSP is a Mental Health Counselor in Clarksville, Tennessee. Qualified in 2022, 4 years ago. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2025

Practice location Address checks out

223 Dunbar Cave Rd Ste A
Clarksville, TN 37043-8831
Phone: (931) 444-3219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8067 (TN)

Record details

NPI number1710878194
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MHSP
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Clarksville