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

Mr. Jaissen M Jackson, LMHC

Individual provider Mental Health Counselor · NPI 1275074171

Mr. Jaissen M Jackson, LMHC is a Mental Health Counselor in Providence, Rhode Island. Qualified in 2016, 10 years ago. Practices with Child and Family Psychiatry, Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
10
Licensed in
RI
In the registry since
2017
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

194 Webster Ave
Providence, RI 02909-3818
Phone: (401) 261-0321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHC01094 (RI)

Record details

NPI number1275074171
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Child And Family Psychiatry, Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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