Deirdre Jackson, PHD LCMHCS LPC NCC
Deirdre Jackson, PHD LCMHCS LPC NCC is a Professional Counselor in Clarksville, TN, registered under NPI 1215343009. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1059 SPICER DR, Clarksville, TN 37042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5911 | LA | Professional Counselor primary |
| S12958 | NC | Mental Health Counselor |
| 1744 | TN | Professional Counselor |
| 77544 | TX | Professional Counselor |
Licences are recorded in 4 states: LA, NC, TN, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 5890101059
- Enrollment ID
- I20260120001189
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 4 states
This provider holds licences in 4 states: Louisiana, North Carolina, Tennessee and Texas. The practice address on file is in Clarksville, TN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 1744
- Specialty
- Professional Counselor
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Professional covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor Professional | 5911 | LA | primary |
| 101YM0800X | Mental Health Counselor Mental Health | S12958 | NC | |
| 101YP2500X | Professional Counselor Professional | 1744 | TN | |
| 101YP2500X | Professional Counselor Professional | 77544 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1215343009 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 1, 2014 |
| Last updated | Jul 20, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PHD LCMHCS LPC NCC |
| Practice address |
1059 SPICER DR Clarksville, TN 37042 (615) 473-5152 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 1 | 5 | 3 | 4 | 3 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 2 | 5 | 6 | 4 | 6 | 0 | 0 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.