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

Individual provider Professional Counselor · NPI 1043614621

Hershel Jackson Jr., MA, LPC is a Mental Health Counselor in Clarkston, Michigan. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824
Phone: (248) 620-6400
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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 6401018127 (MI)

Record details

NPI number1043614621
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedOctober 10, 2014
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address6549 Town Center Dr Ste A, Clarkston, MI 48346-4824

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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