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Active NPI 1245607357 Individual Practitioner Female Practitioner

Samantha Rae Jackson , LPC

Counselor • Chardon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Jackson, LPC is a certified Counselor practicing in Chardon, OH. With approximately 14 years of clinical experience since completing medical education in 2012, Samantha Jackson delivers high-quality medical care to the local community at 695 SOUTH ST.

Samantha Jackson is affiliated with Ravenwood Mental Health Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

695 South St

Chardon, OH 440241474

Telephone 4402861631
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chardon, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +4.3 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Chardon, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% 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 (14 Years) 14 Yrs
Chardon Specialty Average (9.7 Years) 9.7 Yrs

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.1100378

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Hospital & Practice Group Affiliations

Ravenwood Mental Health Center

12557 Ravenwood Dr, Chardon, OH 440249009

Phone: 4402853568

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1356732978
Bernadette Charles , LISW LICDC

Social Worker - Clinical

NPI 1538345335

LISWLICDC

Tiffany Leonatti

Counselor - Professional

NPI 1609438605
David Sardes , LISW

Community/Behavioral Health

NPI 1679752810

Licensed Independent Social Worker

Alexis Hassett

Social Worker

NPI 1992315493

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2015

Registered at 695 SOUTH ST, CHARDON, OH 440241474 (Tel: 4402861631)

📍
Updated Business Mailing Address August 24, 2015

Registered at 41 MARSHALL AVE, APT. 1, AKRON, OH 443031412 (Tel: 3305022532)

👤
Provider Name / Credentials Updated August 24, 2015

Recorded as SAMANTHA JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2015

Counselor (License #C.1100378 in OH)

🟢
Initial NPI Registration & Enumeration August 24, 2015

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: 1245607357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2015
Last Update: August 24, 2015
Sole Proprietor: No

Mailing Address

41 Marshall Ave, Apt. 1

Akron, OH 443031412

Phone: 3305022532

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.