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

Samantha Rae Jackson, LPC

Individual provider Counselor · NPI 1245607357

Samantha Rae Jackson, LPC is a Mental Health Counselor in Chardon, Ohio. Qualified in 2012, 14 years ago. Practices with Ravenwood Mental Health Center, a 55-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2015
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

695 S St
Chardon, OH 44024-1474
Phone: (440) 286-1631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C.1100378 (OH)

Record details

NPI number1245607357
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ravenwood Mental Health Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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