Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ruby J Jackson, DPC, LPC-S, NCC

Individual provider Professional Counselor · NPI 1487162608

Dr. Ruby J Jackson, DPC, LPC-S, NCC is a Mental Health Counselor in Brandon, Mississippi. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2018
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

302 Azalea Ct
Brandon, MS 39047-7952
Phone: (601) 201-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1306 (MS)

Record details

NPI number1487162608
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPC , LPC-S , NCC
Sole proprietorYes
NPI enumeratedJanuary 22, 2018
Last updated in NPPESJanuary 22, 2018
Mailing address302 Azalea Ct, Brandon, MS 39047-7952

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

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