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

Mr. Christopher Ladd Jackson, MC, LPC, LISAC, NCGC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295918530

Mr. Christopher Ladd Jackson, MC, LPC, LISAC, NCGC is a Mental Health Counselor in Surprise, Arizona. Qualified in 2003, 23 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

12301 W Bell Rd Ste A102
Surprise, AZ 85374-9707
Phone: (602) 614-5926
Fax: (623) 583-3888
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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 LPC-12267 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LISAC-11483 (AZ)

Record details

NPI number1295918530
Entity typeIndividual (Type 1)
GenderMale
Credentials MC , LPC , LISAC , NCGC
Sole proprietorYes
NPI enumeratedDecember 10, 2007
Last updated in NPPESFebruary 12, 2009

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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