Ms. Jackie M. Grissom
LCMHC | Professional Counselor
6001 Gateway Center Dr., Suite 105, Kannapolis
North Carolina, 28081
704-905-5201 704-612-7043
Maps & DirectionsMs. Jackie M. Grissom is a Kannapolis, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Ms. Jackie M. Grissom is 2798 for Professional Counselor in North Carolina. Her current practice location is 6001 Gateway Center Dr., Suite 105, Kannapolis. Patients can book an appointment with her at 704-905-5201.
Ms. Jackie M. Grissom is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Ms. Jackie M. Grissom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ms. Jackie M. Grissom |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | LCMHC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6001 Gateway Center Dr., Suite 105, Kannapolis,
North Carolina, 28081 |
| Phone: | 704-905-5201 |
| Fax: | 704-612-7043 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1215917117 |
| NPI Enumeration Date: | 18 Jan, 2006 |
| NPI Last Update On: | 26 Feb, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jackie M. Grissom are as mentioned below.
| License Number | Specialization | State | Status | |
| 2798 | Professional Counselor | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Jackie M. Grissom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6102673 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 905 Calle Calmado,
Las Cruces, New Mexico |
| Zip: | 88007 |
| Phone Number: | 704-905-5201 |
| Fax Number: | 704-612-7043 |
Patients can reach Ms. Jackie M. Grissom at
6001 Gateway Center Dr., Suite 105, Kannapolis, North Carolina or can
call to book an appointment on 704-905-5201.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.