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

Mrs. Terronda Lanae Jackson, MA, LPCA

Individual provider Mental Health Counselor · NPI 1992276810

Mrs. Terronda Lanae Jackson, MA, LPCA is a Mental Health Counselor in Blythewood, South Carolina. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2018
Specialties on file
5
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

140 Hunters Run Dr
Blythewood, SC 29016-9206
Phone: (803) 814-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6574 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6574 (SC)
Pastoral Counselor Taxonomy 101YP1600X · Licence 6574 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence 6574 (SC)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 6574 (SC)

Record details

NPI number1992276810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCA
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blythewood