Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MISS PATRICIA KATHERINE JACKSON
Active
Individual
MISS PATRICIA KATHERINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13613
NC
101YP2500X
Professional Counselor
A13613
NC
Other
Enumeration date
04/18/2018
Last updated
10/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up