Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376730291 Deactivated / Inactive NPI Male Practitioner

Richard Jackson , LPC

Counselor • Memphis, TN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Richard Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2007
NPI Deactivation Date August 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Richard Jackson, LPC was a registered Counselor practicing in Memphis, TN. Throughout an active medical career spanning 13 years, Richard Jackson provided care at the practice location at 156 N BELLEVUE BLVD until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

156 N Bellevue Blvd

Memphis, TN 381047201

Telephone 9017285554
Fax 9017285554
Associated Practice Facility / Clinic
🏢 Branches Of Life, Inc. Facility NPI 1609959212

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Memphis, TN (1666 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TN NCC57750

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1801117049

Licensed Master Social Worker, Licensed Alcohol and Drug Counselor, MAC

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 17, 2020

Record deactivated on August 17, 2020

NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2007

Registered at 156 N BELLEVUE BLVD, MEMPHIS, TN 381047201 (Tel: 9017285554)

📍
Updated Business Mailing Address September 25, 2007

Registered at PO BOX 41722, MEMPHIS, TN 381741722 (Tel: 9017285554)

👤
Provider Name / Credentials Updated September 25, 2007

Recorded as RICHARD JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Counselor (License #NCC57750 in TN)

🟢
Initial NPI Registration & Enumeration September 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Richard Jackson. Be the first to share your experience!

Sign in to leave a review for Richard Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376730291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2007
Last Update: September 25, 2007
Deactivation Date: August 17, 2020

Mailing Address

Po Box 41722

Memphis, TN 381741722

Phone: 9017285554

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.