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

MS. Candis L Jackson, LMHC

Individual provider Mental Health Counselor · NPI 1104004746

MS. Candis L Jackson, LMHC is a Mental Health Counselor in Port Charlotte, Florida. Qualified in 1972, 54 years ago. Practices with Bennett W McAllister MD PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
54
Licensed in
FL
In the registry since
2008
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

4161 Tamiami Trl Ste 304D
Port Charlotte, FL 33952-9254
Phone: (941) 625-5895
Fax: (941) 625-1047
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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 MH4441 (FL)

Record details

NPI number1104004746
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedFebruary 6, 2008
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Bennett W McAllister Md Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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