Active NPI 1902232333 Individual Practitioner Female Practitioner

Sherry A Jackson , LPC

Counselor - Professional • Manassas, VA

Professional Overview & Biography Verified Profile Summary

Sherry Jackson, LPC is a registered healthcare professional specializing in Counselor - Professional in Manassas, VA. Practice services are available at 12849 GALVESTON CT # 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12849 Galveston Ct # 120

Manassas, VA 201128676

Telephone 5715450592

Associated Practice Facility / Clinic

🏢 Center For Wise Counsel, Llc Facility NPI 1538852462

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Manassas, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.4 Yrs

State Avg: 14.7 Yrs

Regional Practice Density

137 Specialists

Practicing in Manassas, VA (6609 Statewide)

Telehealth Adoption Rate

3.6% 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

CMS Verified: 2025-01-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701005445

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

04945247 (VA)

Secondary Practice Locations

220 S Washington St

Alexandria, VA 223143626

Phone: 5715450592

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location January 13, 2025

Registered at 12849 GALVESTON CT # 120, MANASSAS, VA 201128676 (Tel: 5715450592)

📍

Updated Business Mailing Address January 13, 2025

Registered at 12849 GALVESTON CT # 120, MANASSAS, VA 201128676 (Tel: 5715450592)

👤

Provider Name / Credentials Updated January 13, 2025

Recorded as SHERRY JACKSON, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2025

Counselor

✅

NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2013

Registered at 7969 ASHTON AVE, MANASSAS, VA 201092885 (Tel: 7037927800)

📍

Updated Business Mailing Address September 17, 2013

Registered at 7969 ASHTON AVE, MANASSAS, VA 201092885 (Tel: 7037927800)

👤

Provider Name / Credentials Updated September 17, 2013

Recorded as SHERRY CONDELL, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Counselor (License #0701005445 in VA)

🟢

Initial NPI Registration & Enumeration September 17, 2013

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: 1902232333

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 17, 2013

Last Update: January 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12849 Galveston Ct # 120

Manassas, VA 201128676

Phone: 5715450592

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.