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

Stacey L Jackson, LPC

Individual provider Professional Counselor · NPI 1790926905

Stacey L Jackson, LPC is a Mental Health Counselor in Pacolet, South Carolina. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
20
Licensed in
SC
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

131 Cameron St
Pacolet, SC 29372-2838
Phone: (864) 398-9322
Fax: (888) 707-1002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.5354 PC (SC)

Record details

NPI number1790926905
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 18, 2009
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address131 Cameron St, Pacolet, SC 29372-2838

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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