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

William M. Jackson Jr., LPC

Individual provider Professional Counselor · NPI 1073407342

William M. Jackson Jr., LPC is a Mental Health Counselor in Lynchburg, Virginia. Qualified in 1998, 28 years ago. Practices with Centra Medical Group LLC, a 717-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
28
Licensed in
VA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1901 Tate Springs Rd Dillard Bldg
Lynchburg, VA 24501-1109
Phone: (434) 200-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701003216 (VA)

Record details

NPI number1073407342
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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