Mycha I Jackson is a Winnsboro, South Carolina based counselor who is specialized as Professional Counselor. Active license number of Mycha I Jackson is 9508 for Professional Counselor in South Carolina. Her current practice location is 4866 Greenbrier Mossydale Rd, Winnsboro. Patients can book an appointment with her at 803-800-1701.
Mycha I Jackson 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:
Mycha I Jackson 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: | Mycha I Jackson |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4866 Greenbrier Mossydale Rd, Winnsboro,
South Carolina, 29180-6523 |
| Phone: | 803-800-1701 |
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: | 1649700329 |
| NPI Enumeration Date: | 15 Jun, 2017 |
| NPI Last Update On: | 10 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mycha I Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 9508 | Professional Counselor | South Carolina | Primary | |
| 9508 | Mental Health Counselor | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mycha I Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3335 | Other | South Carolina | MEDICARE PIN |
| 421504 | Medicaid | South 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: | 4866 Greenbrier Mossydale Rd,
Winnsboro, South Carolina |
| Zip: | 29180-6523 |
| Phone Number: | 803-800-1701 |
Patients can reach Mycha I Jackson at
4866 Greenbrier Mossydale Rd, Winnsboro, South Carolina or can
call to book an appointment on 803-800-1701.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.