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Active NPI 1295918530 Individual Practitioner Male Practitioner

Christopher Ladd Jackson , MC, LPC, LISAC, NCGC

Counselor - Professional • Surprise, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Christopher Jackson, MC, LPC, LISAC, NCGC is a certified Counselor - Professional practicing in Surprise, AZ. With approximately 23 years of clinical experience since completing medical education in 2003, Christopher Jackson delivers high-quality medical care to the local community at 12301 W BELL RD STE A102.

Christopher Jackson accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12301 W Bell Rd Ste A102

Surprise, AZ 853749707

Telephone 6026145926
Fax 6235833888
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Surprise, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +10.3 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
42 Specialists

Practicing in Surprise, AZ (3051 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (23 Years) 23 Yrs
Surprise Specialty Average (12.7 Years) 12.7 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-12267

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License AZ LISAC-11483

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jane Meier , MSW, LCSW

Social Worker - Clinical

NPI 1831402338

Master of Social Work, Licensed Clinical Social Worker

Clyta West , LPC

Counselor - Professional

NPI 1912041401

Licensed Professional Counselor

Theresa Seward , MA, LPC

Counselor - Professional

NPI 1942416847

Master of Arts, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2009

Registered at 12301 W BELL RD STE A102, SURPRISE, AZ 853749707 (Tel: 6026145926)

📍
Updated Business Mailing Address February 12, 2009

Registered at PO BOX 7164, SURPRISE, AZ 85374 (Tel: 6026145926)

👤
Provider Name / Credentials Updated February 12, 2009

Recorded as CHRISTOPHER JACKSON, MC, LPC, LISAC, NCGC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2009

Counselor (License #LISAC-11483 in AZ)

🟢
Initial NPI Registration & Enumeration December 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295918530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2007
Last Update: February 12, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 7164

Surprise, AZ 85374

Phone: 6026145926

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.