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

Jordan Jackson, LPC

Individual provider Counselor · NPI 1154211704

Jordan Jackson, LPC is a Mental Health Counselor in Grand Bay, Alabama. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

5153 Wear Rd Apt 1
Grand Bay, AL 36541-3223
Phone: (601) 434-0616
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 3309 (MS)

Record details

NPI number1154211704
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address5153 Wear Rd, Grand Bay, AL 36541-3223

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

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